NORTH COLLEGE DENTAL PC NPI 1336313683

NPI Information

NORTH COLLEGE DENTAL, PC is a general practice dentist in Twin Falls, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NORTH COLLEGE DENTAL, PC NPI is 1336313683. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1411 FILLMORE ST
SUITE 601
TWIN FALLS, ID
ZIP 83301-343
Phone: (208) 734-2300
Fax: (208) 736-7214

The provider's authorized official is Marni Peterson .
The authorized official title is Office Manager and has the following contact phone number (208) 734-2300.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/17/2008.

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:

Other Identifiers

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