| Kent Cutforth Dds | |
|
1370 E. 17th Street Idaho Falls ID 83404 | |
| (208) 523-3388 | |
| (208) 535-0995 |
| Full Name | Kent Cutforth Dds |
|---|---|
| Speciality | Dentist |
| Location | 1370 E. 17th Street, Idaho Falls, Idaho |
| Authorized Official Name and Position | Bert Kent Cutforth (DENTIST/OWNER) |
| Authorized Official Contact | 2085233388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Cutforth Dds 1370 E. 17th Street Idaho Falls ID 83404 Ph: (208) 523-3388 | Kent Cutforth Dds 1370 E. 17th Street Idaho Falls ID 83404 Ph: (208) 523-3388 |
| NPI Number | 1376876110 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376876110 | NPI | - | NPPES |
| 001169300 | Medicaid | ID | |
| 808413300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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