Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TWO RIVERS DENTAL, PLLC
Active OrganizationTWO RIVERS DENTAL, PLLC is a General Dentistry organization located in MTN HOME, Idaho. NPI 1114156064 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MTN HOME, ID
Registration Details
- NPI Number
- 1114156064
- Provider Type
- Organization
- NPI Issued
- Jul 13, 2009 (17.100138529428 yrs)
- Last Updated
- Jul 13, 2009
- License
-
D3280 (ID)
Practice Information
- Address
-
125 S 10TH EMTN HOME, ID, 836473120Browse ID providers · Browse ZIP 83647
- Phone
- 2085874326
- Primary Specialty
-
General Dentistry
1223G0001X
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.