COTTONWOOD DENTAL CARE PA NPI 1073776050

NPI Information

  • NPI: 1073776050
  • Provider Name: COTTONWOOD DENTAL CARE, PA
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 180 S MAIN ST
    SUITE B2
    DRIGGS, ID
    ZIP 83422
  • Phone: (208) 354-9700

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NPI Details

COTTONWOOD DENTAL CARE, PA is a dental clinic center in Driggs, ID. COTTONWOOD DENTAL CARE, PA NPI is 1073776050. The provider is registered as an organization entity type.

The provider's business location address is:

180 S MAIN ST
SUITE B2
DRIGGS, ID
ZIP 83422-034
Phone: (208) 354-9700
Fax: (208) 354-9701

The provider's authorized official is Stuart Marshall .
The authorized official title is Dentist and has the following contact phone number (208) 354-9700.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 7/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalD3890IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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