Kevin Richard Mudrow, DDS - Dentist in Idaho Falls, ID

Kevin Richard Mudrow, DDS is a Dentist based in Idaho Falls, Idaho. Kevin Richard Mudrow is licensed to practice in Idaho (license number D4481) and his current practice location is 333 S Woodruff Ave, Suite F, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 524-2030.

NPI number for Kevin Richard Mudrow is 1114126992 and his current mailing address is 333 S Woodruff Ave, Suite F, Idaho Falls, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114126992.

Contact Information

Kevin Richard Mudrow, DDS
333 S Woodruff Ave, Suite F,
Idaho Falls, ID 83401-4322
(208) 524-2030
Not Available



Healthcare Provider's Profile

Full NameKevin Richard Mudrow
GenderMale
SpecialityDentist
Location333 S Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114126992
  • Provider Enumeration Date: 07/12/2007
  • Last Update Date: 09/11/2013

Medical Identifiers

Medical identifiers for Kevin Richard Mudrow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114126992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D8946 (Oregon)Secondary
122300000XDentist D4481 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Richard Mudrow is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin Richard Mudrow, DDS
333 S Woodruff Ave, Suite F,
Idaho Falls, ID 83401-4322

Ph: (208) 524-2030
Kevin Richard Mudrow, DDS
333 S Woodruff Ave, Suite F,
Idaho Falls, ID 83401-4322

Ph: (208) 524-2030

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› Verified 9 days ago


Dentist in Idaho Falls, ID

Dr. Christopher M Cannon, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3550 Washington Pkwy, Idaho Falls, ID 83404
Phone: 208-524-2300    Fax: 208-545-8447
Dr. Ryan T Kidman, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 139 Alturas St, Idaho Falls, ID 83401
Phone: 208-523-5090    Fax: 208-895-0583
Dr. Dwight Douglas Baker, D.D.S., M.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1900 John Adams Pkwy, Idaho Falls, ID 83401
Phone: 208-524-0644    Fax: 208-524-6100
Mark Asael Tall, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2460 E 25th St, Idaho Falls, ID 83404
Phone: 208-525-4780    Fax: 508-525-4785
Dr. Ron D Sheppard, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2300 E 17th St, Idaho Falls, ID 83404
Phone: 208-525-8383    Fax: 208-523-6419
Dr. Trent Charles Buehler, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 2860 Valencia Dr Ste 100, Idaho Falls, ID 83404
Phone: 855-433-6825    
Dr. Philip R Harper, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3550 Washington Pkwy, Idaho Falls, ID 83404
Phone: 208-524-2300    Fax: 208-545-8447

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