DR. BROOKE MARIE-OSGOOD FUKUOKA


Address: 1309 Bennett Ave, Burley, ID 83318-2676
Phone: 2086787796

DR. BROOKE MARIE-OSGOOD FUKUOKA (NPI# 1932466489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932466489
Entity Type Individual
Full Name DR. BROOKE MARIE-OSGOOD FUKUOKA
Other Name DR. BROOKE MARIE-OSGOOD FUKUOKA
Practice Address 1309 Bennett Ave
Burley
ID 83318-2676
Mailing Address 1508 N Lyndon St
Jerome
ID 83338-5026
Practice Telephone 2086787796
Enumeration Date 2012-04-20
Last Update Date 2016-06-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D-4533 ID Dental Providers

Office Location

Street Address 1309 BENNETT AVE
City BURLEY
State ID
Zip Code 83318-2676

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033165550 Family Health Services Corporation Counselor 1309 Bennett Ave, Burley, ID 83318 2006-05-26
1043873789 Angie Zabala Social Worker 1309 Bennett Ave, Burley, ID 83318-2676 2019-04-18
1477902161 Taylor Mcallister Physician Assistant 1309 Bennett Ave, Burley, ID 83318-2676 2016-06-03
1346608999 Lyndsie Chatburn Nurse Practitioner 1309 Bennett Ave, Burley, ID 83318-2676 2016-02-10
1316322167 Logan Kay Dentist 1309 Bennett Ave, Burley, ID 83318-2676 2015-07-22
1619350774 Family Health Services Corporation Durable Medical Equipment & Medical Supplies 1309 Bennett Ave, Burley, ID 83318-2676 2015-07-07
1164834040 David Miller Family Medicine 1309 Bennett Ave, Burley, ID 83318 2014-05-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902366834 Pain & Spine Consultants Clinic/Center 1344 Hiland Avenue, Ste A, Burley, ID 83318 2019-03-25
1609335090 Hurst Medical Pllc Clinic/Center 1700 Overland Ave Ste 1, Burley, ID 83318 2019-03-15
1831654243 Mini-cassia Hearts 4 Seniors In Home Supportive Care 135 East 23rd Drive, Burley, ID 83318 2019-02-11
1841760493 Burley Family Dental Pllc Dentist 2200 Parke Ave Ste 2, Burley, ID 83318 2018-11-27
1831634823 Skye Fahnlander Occupational Therapy Assistant 2303 Parke Ave, Burley, ID 83318 2016-12-29
1285024497 Albion Valley Health Clinic Inc. Clinic/Center 400 West 5th Street, Burley, ID 83318 2015-01-26
1124372370 A Plus Solutions Center Clinic/Center 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 2012-11-08
1831442805 A Plus Solutions Developmental Center LLC Day Training, Developmentally Disabled Services 2251 Overland Avenue, Suite Number 5, Burley, ID 83318 2012-10-16
1619258159 Keleah Margrete Goldammer Occupational Therapist 2303 Parke Avenue, Burley, ID 83318 2011-08-29
1932490984 Tamera Chatburn Counselor 531 East 5th St., Preferred Child and Family Services, Burley, ID 83318 2011-04-26
Find all providers in zip 83318

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841760493 Burley Family Dental Pllc Dentist 2200 Parke Ave Ste 2, Burley, ID 83318 2018-11-27
1528223963 Alan Scott Pickup Dentist 1905 Hiland Ave, Burley, ID 83318-2714 2008-07-24
1518128933 Travis T Bodily Dentist 425 North Overland Avenue, Burley, ID 83318 2008-06-18
1821117763 Val Garn Dentist 2200 Parke Ave, Suite 1, Burley, ID 83318-3351 2007-03-29
1710011754 Jared C Johnson Dentist 1706 Overland Ave, Burley, ID 83318-2436 2007-03-14
1851495170 Ronald C Rice Dentist 515 E 5th St. N, Burley, ID 83318 2006-09-08
1801819313 Kevin Turner Stock Dentist 2200 Park Ave, Suite 2, Burley, ID 83318-2186 2006-07-25
1679066310 Bodily Brothers Dental Dentist 425 N Overland Ave, Burley, ID 83318-3434 2018-06-07
1982157962 Seasons Dental Dentist 425 N Overland Ave, Burley, ID 83318-3434 2016-07-26
1619296605 Brett Jack Lancaster Dentist 1361 E 16th St, #2, Burley, ID 83318-2008 2010-05-31
Find all providers in BURLEY

Competitor

Search similar providers

City BURLEY
Zip Code 83318

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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