NPI 1356581326 TWO RIVERS DENTAL CASCADE ID. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Two Rivers Dental - NPI: 1356581326

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: TWO RIVERS DENTAL
NPI Number: 1356581326
Entity Type Code: Organizational (2)
Authorized Official Name: SHANE L NEWTON
(OWNER)
Mailing Address: 220 S Main St
Cascade
State: ID US
Postal Code: 83611
Phone Number: 2083823558
Fax Number: 2083823668
NPI Enumeration Date: 03/03/2009
NPI Last Update Date: 03/03/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QD0000X
License Number: D3280
Healthcare Provider Taxonomy:
(Secondary)
Y
State: ID
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Dental
Taxonomy Definition:


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