| Two Rivers Dental | |
|
220 S Main St Cascade ID 83611 | |
| (208) 382-3558 | |
| (208) 382-3668 |
| Full Name | Two Rivers Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 220 S Main St, Cascade, Idaho |
| Authorized Official Name and Position | Shane L Newton (OWNER) |
| Authorized Official Contact | 2086345255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Dental Po Box 498 Cascade ID 83611-0498 Ph: (208) 382-3558 | Two Rivers Dental 220 S Main St Cascade ID 83611 Ph: (208) 382-3558 |
| NPI Number | 1356581326 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356581326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D3280 (Idaho) | Primary |
Cascade Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 839 S Main St, Cascade, ID 83611 Phone: 208-382-8200 | |
Cascade Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 839 Main St, Ste1, Cascade, ID 83611 Phone: 208-382-8200 Fax: 208-382-6202 | |
Cascade Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 839 S Main Street, Cascade, ID 83611 Phone: 208-382-8200 | |
Cornerstone Family & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 South Main Street, Cascade, ID 83611 Phone: 208-382-3558 Fax: 208-382-3668 |