Jeffrey C Dabell (NPI# 1598983033, PAC ID# 4880873264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1598983033 |
| PAC ID by PECOS | 4880873264 |
| Professional Enrollment ID | I20110201000544 |
| Full Name | Jeffrey C Dabell |
| Organization Legal Name | IDAHO CENTER FOR ORAL AND FACIAL SURGERY |
| Address |
177 Vista Dr Pocatello ID 83201-5824 |
| Phone Number | 2082320232 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 2365621737 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| 131325 | BINGHAM MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 177 Vista Dr, Pocatello, ID 83201-5824 | 2082320232 | IDAHO CENTER FOR ORAL AND FACIAL SURGERY |
| Organization Legal Name | IDAHO CENTER FOR ORAL AND FACIAL SURGERY |
| Physicians | 1 |
| Street Address |
177 VISTA DR |
| City | POCATELLO |
| State | ID |
| Zip | 83201-5824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | POCATELLO + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Jeffrey C Dabell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.