MEDICARE: DR. MICHAEL ALDON TALL D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D2046	ID

General Provider Information

NPI Number	:	1407961329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ALDON TALL D.D.S.

Provider Business Mailing Address
First Line	:	3381 MERLIN DR
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-7405
Country	:	US
Telephone Number	:	208-522-1332
Fax Number	:	208-522-1653

Provider Business Practice Location Address
First Line	:	3381 MERLIN DR
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-7405
Country	:	US
Telephone Number	:	208-522-1332
Fax Number	:	208-522-1653

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1619917200 — BRYANT BELNAP PT
Practice Location Address:

3345 MERLIN DR , SUITE 100
IDAHO FALLS, ID
83404-7405

Practice Phone: 208-522-4481
Practice Fax: 208-522-6137

1740215870 — ELISON ORTHODONTICS PLLC
Practice Location Address:

3357 MERLIN DR
IDAHO FALLS, ID
83404-7405

Practice Phone: 208-522-9600
Practice Fax: 208-522-9799

1760406193 — DAVID M HENINGER D.D.S.
Practice Location Address:

3375 MERLIN DR
IDAHO FALLS, ID
83404-7405

Practice Phone: 208-524-1700
Practice Fax: 208-524-1702

1194735522 — IDAHO SURGICENTER NORTH LLC
Practice Location Address:

3369 MERLIN DR
IDAHO FALLS, ID
83404-7405

Practice Phone: 208-529-0009
Practice Fax: 208-529-2252

1861599912 — PROF. ZACKARY M HALE AU.D
Practice Location Address:

3345 MERLIN DR , STE 200
IDAHO FALLS, ID
83404-7405

Practice Phone: 208-529-1514
Practice Fax: 208-529-3170

Directions to “ DR. MICHAEL ALDON TALL D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.