| Town Square Dental Pllc | |
|
502 8th St Rupert ID 83350-1417 | |
| (208) 436-4747 | |
| (208) 436-9683 |
| Full Name | Town Square Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 502 8th St, Rupert, Idaho |
| Authorized Official Name and Position | Nathan A Catmull (OWNER) |
| Authorized Official Contact | 2084364747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Square Dental Pllc 502 8th St Rupert ID 83350-1417 Ph: (208) 436-4747 | Town Square Dental Pllc 502 8th St Rupert ID 83350-1417 Ph: (208) 436-4747 |
| NPI Number | 1124534433 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124534433 | NPI | - | NPPES |
| 28443 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4143 (Idaho) | Primary |
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Magic Valley Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W 100 S, Rupert, ID 83350 Phone: 208-436-4532 | |
John A Simpson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 8th St, Rupert, ID 83350 Phone: 208-436-4747 Fax: 208-436-9683 | |
Doctors Garrard And Wayment Dentists Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Scott Ave, Ste #3, Rupert, ID 83350 Phone: 208-436-6406 Fax: 208-436-9678 |