Vernon O Gaffner, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1305 Issued in ID

Practice address

333 S Woodruff Ave
Idaho Falls, ID 83401-4322

Phone

(208) 524-2034

Fax

(208) 523-9004

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376627802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014322",
            "telephone_number": "208-524-2034",
            "fax_number": "208-523-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014322",
            "telephone_number": "208-524-2034",
            "fax_number": "208-523-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNER",
        "first_name": "VERNON",
        "middle_name": "O",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fullmer Counseling LLC
• Lorenza Fullmer, M.S., CCC-SLP
• Nathan James Fullmer, LPC
• Annette Fultz, CADC
• Darren Furman, LCSW, PHD
• Marianne Graf Galbraith, PA-C
• Shana Galbraith, LPC
• Melissa Gallant, RN
• Kathy Gammon, RPT,P.A.
• Stanford Benjamin Gammon, P.A.

• All providers in Idaho Falls, ID
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.