| Cornerstone Family Dental Pllc | |
|
44 S Center St Rexburg ID 83440-3016 | |
| (208) 356-4240 | |
| (208) 356-5361 |
| Full Name | Cornerstone Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 44 S Center St, Rexburg, Idaho |
| Authorized Official Name and Position | Thomas D Snarr (OWNER) |
| Authorized Official Contact | 2083564240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Dental Pllc 44 S Center St Rexburg ID 83440-3016 Ph: (208) 356-4240 | Cornerstone Family Dental Pllc 44 S Center St Rexburg ID 83440-3016 Ph: (208) 356-4240 |
| NPI Number | 1013374461 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 01/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013374461 | NPI | - | NPPES |
| 9196514 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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