# AMERICAN FALLS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Falls Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376922179
- **Authorized official:** DR. DAVID STERZER DDS (DENTIST)
- **Authorized official phone:** (208) 904-3496

## Contact information

- **Practice address:** 239 IDAHO ST, AMERICAN FALLS, ID 83211-1235
- **Practice address phone:** (208) 904-3496
- **Practice address fax:** (208) 904-3514
- **Mailing address:** 239 IDAHO ST, AMERICAN FALLS, ID 83211-1235
- **Mailing address phone:** (208) 904-3496
- **Mailing address fax:** (208) 904-3514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D1967 | ID | — |
| 122300000X | Dentist | D3963 | ID | — |
| 122300000X | Dentist | D4634 | ID | Yes |

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 05/26/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002639200 | — | ID |
| 01 | — | 1467543595 | NPI | ID |
| 01 | — | 1760566384 | NPI | ID |
| 01 | — | 1811396708 | NPI | ID |
| 05 | — | 807472000 | — | ID |