| Two Rivers Family & Cosmetic Dentistry, Pa | |
|
307 E Park St Ste 103 Mccall ID 83638-3863 | |
| (208) 634-5255 | |
| (208) 634-1047 |
| Full Name | Two Rivers Family & Cosmetic Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 307 E Park St Ste 103, Mccall, Idaho |
| Authorized Official Name and Position | Claudette Kim Meyer (OFFICE MANGER) |
| Authorized Official Contact | 2086345255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Family & Cosmetic Dentistry, Pa 307 E Park St Suite 203 Mccall ID 83638-3863 Ph: (208) 634-5255 | Two Rivers Family & Cosmetic Dentistry, Pa 307 E Park St Ste 103 Mccall ID 83638-3863 Ph: (208) 634-5255 |
| NPI Number | 1821380346 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821380346 | NPI | - | NPPES |
| M8074016 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3076 (Idaho) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Brian W Charles Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Pine St, Mccall, ID 83638 Phone: 208-634-7653 Fax: 208-634-4568 | |
Kevin M Elliott Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-1214 | |
Cornerstone Family & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 East Lake Street, Mccall, ID 83638 Phone: 208-634-5255 Fax: 208-634-1047 | |
Two Rivers Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 E Park St Ste 203, Mccall, ID 83638 Phone: 208-634-5255 Fax: 208-634-1047 | |
Advanced Dentistry Of Mccall Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-5717 |