| Cottonwood Creek Dental | |
|
325 E. Shore Drive Suite 100 Eagle ID 83616 | |
| (208) 323-8545 | |
| Not Available |
| Full Name | Cottonwood Creek Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 325 E. Shore Drive, Eagle, Idaho |
| Authorized Official Name and Position | Jagdev Heir (CEO/PRESIDENT) |
| Authorized Official Contact | 5184415483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Creek Dental 4170 Truxel Road Suite C Sacramento CA 95834 | Cottonwood Creek Dental 325 E. Shore Drive Suite 100 Eagle ID 83616 Ph: (208) 323-8545 |
| NPI Number | 1275321705 |
|---|---|
| Provider Enumeration Date | 04/25/2025 |
| Last Update Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275321705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 1223D0001X | Dentist - Dental Public Health | () | Primary |
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