Individual
DR. CASEY RYAN ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 E CHAPEL RD, POCATELLO, ID 83201-3540
(208) 232-3500
Mailing address
4938 JOY ST, CHUBBUCK, ID 83202-2505
(208) 241-8123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3171168
ID
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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