1073776050 NPI number — COTTONWOOD DENTAL CARE, PA

Table of content: (NPI 1073776050)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073776050 NPI number — COTTONWOOD DENTAL CARE, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COTTONWOOD DENTAL CARE, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073776050
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
180 S MAIN ST
Provider Second Line Business Mailing Address:
SUITE B2
Provider Business Mailing Address City Name:
DRIGGS
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83422-5034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-354-9700
Provider Business Mailing Address Fax Number:
208-354-9701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
180 S MAIN ST
Provider Second Line Business Practice Location Address:
SUITE B2
Provider Business Practice Location Address City Name:
DRIGGS
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83422-5034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-354-9700
Provider Business Practice Location Address Fax Number:
208-354-9701
Provider Enumeration Date:
07/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MARSHALL
Authorized Official First Name:
STUART
Authorized Official Middle Name:
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
208-354-9700

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  D3890 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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