Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811277742 Individual Practitioner Male Practitioner

Dr. Andrew William Bohnsack , DDS

Dentist - General Practice • Pocatello, ID

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Bohnsack, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pocatello, ID. Practice services are available at 465 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

465 Memorial Dr

Pocatello, ID 832014008

Telephone 2082823289
Associated Practice Facility / Clinic
🏢 Phs Md #1, Llc Facility NPI 1992032098

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 D4367

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

5 Associated Practitioners
NPI 1023422078

Doctor of Dental Surgery

NPI 1225481930

Doctor of Dental Surgery

NPI 1407261407

Doctor of Dental Surgery

Dr. Domenick Fuller , DDS

Dentist - General Practice

NPI 1649063850

Doctor of Dental Surgery

NPI 1700584794

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2011

Registered at 465 MEMORIAL DR, POCATELLO, ID 832014008 (Tel: 2082823289)

📍
Updated Business Mailing Address August 23, 2011

Registered at 921 S 8TH AVE STOP 8088, POCATELLO, ID 832098088

👤
Provider Name / Credentials Updated August 23, 2011

Recorded as ANDREW BOHNSACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2011

Dentist (License #D4367 in ID)

🟢
Initial NPI Registration & Enumeration August 23, 2011

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: 1811277742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2011
Last Update: August 23, 2011
Sole Proprietor: No

Mailing Address

921 S 8th Ave Stop 8088

Pocatello, ID 832098088

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.