TWO RIVERS DENTAL NPI 1669612776

NPI Information

NPI: 1669612776
Provider Name: TWO RIVERS DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
307 E PARK ST STE 203
MCCALL, ID
ZIP 83638
Phone: (208) 634-5255
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TWO RIVERS DENTAL is a dental clinic center in Mccall, ID. TWO RIVERS DENTAL NPI is 1669612776. The provider is registered as an organization entity type.

The provider's business location address is:

307 E PARK ST STE 203
MCCALL, ID
ZIP 83638-255
Phone: (208) 634-5255
Fax: (208) 634-1047

The provider's authorized official is Shane L Newton .
The authorized official title is Owner and has the following contact phone number (208) 634-5255.

The enumeration date for this NPI number is 3/2/2009 and was last updated on 3/2/2009.

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
1	261QD0000X	Clinic/Center	Dental	D3280	IDAHO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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