# MACHEN FAMILY DENTISTRY PC

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

## Provider details

- **NPI number:** 1679860829
- **Authorized official:** DR. ESTHER B MACHEN D.D.S. (PRESIDENT)
- **Authorized official phone:** (208) 552-0775

## Contact information

- **Practice address:** 3500 POTOMAC WAY, SUITE 200, IDAHO FALLS, ID 83404-4974
- **Practice address phone:** (208) 552-0775
- **Mailing address:** 3500 POTOMAC WAY, SUITE 200, IDAHO FALLS, ID 83404-4974
- **Mailing address phone:** (208) 552-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-4356 | ID | Yes |

## Other

- **Enumeration date:** 07/07/2011
- **Last updated:** 10/14/2016