Robert L. Fackrell DDS PA
Robert L. Fackrell DDS PA is a healthcare organization registered as Dentist in Pocatello, ID, holding Type 2 (organization) NPI 1801225180 since 2013. The authorized official on file is Robert Fackrell, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801225180 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Robert L. Fackrell DDS PA |
| Other name | <Unavail> |
| Practice address | 415 N 3RD AVE STE A, Pocatello, ID, 83201 |
| Phone | 2082332355 |
| Fax | 2082330582 |
| Enumeration date | 2013-11-06 |
| Last updated in NPPES | 2015-01-13 |
Authorized official
| Name | Robert Fackrell |
|---|---|
| Title | President |
| Phone | 2082332355 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | D3134 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215072798 | Medicaid | ID | — |
Copy-ready billing details
Provider: Robert L. Fackrell DDS PA NPI: 1801225180 Taxonomy: 122300000X (Dentist) Address: 415 N 3RD AVE STE A, Pocatello, ID, 83201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215072798 | Robert Fackrell | Individual | General Practice Dentistry | Pocatello, ID |
Verify this record
Cross-check NPI 1801225180 against the authoritative CMS record: view Robert L. Fackrell DDS PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Robert L. Fackrell DDS PA?
Who is the authorized official for Robert L. Fackrell DDS PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-01-13.