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 MACKAY, Idaho. NPI 1174829238 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MACKAY, ID
Registration Details
- NPI Number
- 1174829238
- Provider Type
- Organization
- NPI Issued
- Feb 7, 2011 (15.331199067576 yrs)
- Last Updated
- Feb 7, 2011
- License
-
D4109 (ID)
Practice Information
- Address
-
304 S MAIN STMACKAY, ID, 83251Browse ID providers · Browse ZIP 83251
- Phone
- 2085883316
- Fax
- 2085883166
- 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.