Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOUNTAIN RIVER DENTAL PLLC
Active OrganizationDentist · VICTOR, ID
Registration Details
- NPI Number
- 1093147696
- Provider Type
- Organization
- NPI Issued
- Aug 6, 2013 (12.756893750174 yrs)
- Last Updated
- Aug 6, 2013
- License
-
D-4169 (ID)
Practice Information
- Address
-
7726 LUPINE LNVICTOR, ID, 834555116Browse ID providers · Browse ZIP 83455
- Phone
- 2087878100
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.