| Cornerstone Family & Cosmetic Dentistry | |
|
143 East Lake Street Mccall ID 83638 | |
| (208) 634-5255 | |
| (208) 634-1047 |
| Full Name | Cornerstone Family & Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 143 East Lake Street, Mccall, Idaho |
| Authorized Official Name and Position | Kevin M Elliott (PARTNER) |
| Authorized Official Contact | 2086345255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family & Cosmetic Dentistry Po Box 1496 Mccall ID 83638 Ph: (208) 634-5255 | Cornerstone Family & Cosmetic Dentistry 143 East Lake Street Mccall ID 83638 Ph: (208) 634-5255 |
| NPI Number | 1629295274 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629295274 | NPI | - | NPPES |
| 1913080 | Other | ID | UNITED CONCORDIA |
| 000010155075 | Other | ID | DR. NEWTON REGENCE BS |
| 00001156002 | Other | ID | DR ELLIOTT REGENCE BS |
| 6P003 | Other | ID | DR. NEWTON BC BS |
| 6P005 | Other | ID | DR ELLIOTT BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3826 (Idaho) | Primary |
| 122300000X | Dentist | D3280 (Idaho) | Secondary |
Brian W Charles Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Pine St, Mccall, ID 83638 Phone: 208-634-7653 Fax: 208-634-4568 | |
Kevin M Elliott Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-1214 | |
Two Rivers Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 E Park St Ste 203, Mccall, ID 83638 Phone: 208-634-5255 Fax: 208-634-1047 | |
Advanced Dentistry Of Mccall Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-5717 | |
Two Rivers Family & Cosmetic Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 E Park St Ste 103, Mccall, ID 83638 Phone: 208-634-5255 Fax: 208-634-1047 |