# EASTERN IDAHO ENDODONTICS

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

## Provider details

- **NPI number:** 1427618958
- **Authorized official:** BART MORRISON DDS (OWNER/ENDODONTISTS)
- **Authorized official phone:** (208) 524-3770

## Contact information

- **Practice address:** 3335 S. HOLMES AVE, IDAHO FALLS, ID 83404
- **Practice address phone:** (208) 524-3770
- **Practice address fax:** (208) 524-3795
- **Mailing address:** 3335 S. HOLMES AVE, IDAHO FALLS, ID 83404
- **Mailing address phone:** (208) 524-3770
- **Mailing address fax:** (208) 524-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 06/17/2019