| Cornerstone Family & Cosmetic Dentistry | |
|
220 South Main Street Cascade ID 83611 | |
| (208) 382-3558 | |
| (208) 382-3668 |
| Full Name | Cornerstone Family & Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 220 South Main Street, Cascade, Idaho |
| Authorized Official Name and Position | Kevin M Elliott (PARTNER) |
| Authorized Official Contact | 2083823558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family & Cosmetic Dentistry Po Box 498 Cascade ID 83611-0498 Ph: (208) 382-3558 | Cornerstone Family & Cosmetic Dentistry 220 South Main Street Cascade ID 83611 Ph: (208) 382-3558 |
| NPI Number | 1962629527 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962629527 | NPI | - | NPPES |
| 000010155075 | Other | ID | DR NEWTON REGENCE BS |
| 6P003 | Other | ID | DR NEWTON BC BS |
| 6P005 | Other | ID | DR. ELLIOTT BC BS |
| 000010156002 | Other | ID | DR ELLIOTT REGENCE BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3826 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | 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 | |
Two Rivers Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S Main St, Cascade, ID 83611 Phone: 208-382-3558 Fax: 208-382-3668 | |
Cascade Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 839 S Main Street, Cascade, ID 83611 Phone: 208-382-8200 |