Organization · Type 2 NPI
Two Rivers Dental, PLLC
General Practice Dentistry · Mackay, ID
NPI number
1174829238
Active
Practice location
304 S Main St
Mackay, ID 83251
Fax (208) 588-3166
Mailing address
PO Box 86, 304 S Main St
Mackay, ID 83251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D4109 (ID) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1174829238
Two Rivers Dental, PLLC's National Provider Identifier is 1174829238, issued on Feb 7, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mackay, ID. The record was last updated on Feb 7, 2011.