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Active NPI 1275605933 Individual Practitioner Male Practitioner

Dr. Michael Wynn Godfrey , DMD

Dentist - General Practice • Pocatello, ID

Professional Overview & Biography Verified Profile Summary

Dr. Michael Godfrey, DMD is a registered healthcare professional specializing in Dentist - General Practice in Pocatello, ID. Practice services are available at 1980 BIRDIE THOMPSON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1980 Birdie Thompson Dr

Pocatello, ID 832012755

Telephone 2082338750
Fax 2082338751
Associated Practice Facility / Clinic
🏢 G. William Godfrey, Dds Lee R. Reddish, Dds Pllc Facility NPI 1851566392

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pocatello, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 50.0 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
50 Specialists

Practicing in Pocatello, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-3901

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1386716041

Doctor of Dental Surgery

Dr. Glenn Godfrey , DDS

Dentist - General Practice

NPI 1558433219

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1980 BIRDIE THOMPSON DR, POCATELLO, ID 832012755 (Tel: 2082338750)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1980 BIRDIE THOMPSON DR, POCATELLO, ID 832012755 (Tel: 2082338750)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL GODFREY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D-3901 in ID)

🟢
Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275605933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1980 Birdie Thompson Dr

Pocatello, ID 832012755

Phone: 2082338750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.