| Two Rivers Dental, Pllc | |
|
304 S Main St Mackay ID 83251 | |
| (208) 588-3316 | |
| (208) 588-3166 |
| Full Name | Two Rivers Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 304 S Main St, Mackay, Idaho |
| Authorized Official Name and Position | Jed C Snow (DENTIST) |
| Authorized Official Contact | 2085883316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Dental, Pllc Po Box 86 304 S Main St Mackay ID 83251 Ph: (208) 588-3316 | Two Rivers Dental, Pllc 304 S Main St Mackay ID 83251 Ph: (208) 588-3316 |
| NPI Number | 1174829238 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 02/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174829238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4109 (Idaho) | Primary |
Summit View Dental Services Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E Custer St, Mackay, ID 83251 Phone: 208-588-3316 Fax: 208-588-3316 | |
O-bar Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 So Main, Mackay, ID 83251 Phone: 208-588-3316 Fax: 208-588-3166 |