# RICHARD DEE STOKER D.M.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336498120
- **Authorized official:** KIM L WOOD (RECEPTIONIST)
- **Authorized official phone:** (208) 522-4700

## Contact information

- **Practice address:** 3350 S 15TH E, IDAHO FALLS, ID 83404-8321
- **Practice address phone:** (208) 522-4700
- **Practice address fax:** (208) 522-5416
- **Mailing address:** 3350 S 15TH E, IDAHO FALLS, ID 83404-8321
- **Mailing address phone:** (208) 522-4700
- **Mailing address fax:** (208) 522-5416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D-4417 | ID | Yes |

## Other

- **Enumeration date:** 09/07/2012
- **Last updated:** 09/07/2012