| Cottonwood Dental Care | |
| 
					3251 Chestnut Street Cottonwood CA 96022  | |
| (530) 347-4636 | |
| (530) 547-1871 | 
| Full Name | Cottonwood Dental Care | 
|---|---|
| Speciality | Dentist | 
| Location | 3251 Chestnut Street, Cottonwood, California | 
| Authorized Official Name and Position | Bruce Farrell (DENTIST) | 
| Authorized Official Contact | 5305475744 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cottonwood Dental Care Po Box 1649 Cottonwood CA 96022-1649 Ph: (530) 347-4636  | Cottonwood Dental Care 3251 Chestnut Street Cottonwood CA 96022 Ph: (530) 347-4636  | 
| NPI Number | 1154829224 | 
|---|---|
| Provider Enumeration Date | 01/24/2018 | 
| Last Update Date | 01/24/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154829224 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | D43003 (California) | Primary |