| Cottonwood Dental Care, Pa | |
|
180 S Main St Suite B2 Driggs ID 83422-5034 | |
| (208) 354-9700 | |
| (208) 354-9701 |
| Full Name | Cottonwood Dental Care, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 180 S Main St, Driggs, Idaho |
| Authorized Official Name and Position | Stuart Marshall (DENTIST) |
| Authorized Official Contact | 2083549700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Dental Care, Pa 180 S Main St Suite B2 Driggs ID 83422-5034 Ph: (208) 354-9700 | Cottonwood Dental Care, Pa 180 S Main St Suite B2 Driggs ID 83422-5034 Ph: (208) 354-9700 |
| NPI Number | 1073776050 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073776050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D3890 (Idaho) | Primary |
Neerings Dental Inc, Dba Teton Valley Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Wallace Ave, Driggs, ID 83422 Phone: 208-354-8181 Fax: 208-354-8182 | |
Teton Valley Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 E. Wallace Ave., Driggs, ID 83442 Phone: 208-354-8181 Fax: 208-354-8182 | |
Enduradent Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 East Harper Ave, Driggs, ID 83422 Phone: 208-521-7888 | |
Teton Valley Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 E. Wallace Ave., Driggs, ID 83422 Phone: 208-354-8181 Fax: 208-354-8182 |