Provider Demographics
NPI:1598048969
Name:BYBEE, MORGEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MORGEN
Middle Name:
Last Name:BYBEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:MORGEN
Other - Middle Name:
Other - Last Name:ARNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:716 YELLOWSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-4407
Mailing Address - Country:US
Mailing Address - Phone:208-478-5437
Mailing Address - Fax:
Practice Address - Street 1:716 YELLOWSTONE AVE
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-4407
Practice Address - Country:US
Practice Address - Phone:208-478-5437
Practice Address - Fax:208-232-5490
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD4380PD1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry