Individual provider · Type 1 NPI
Cordell Denton Nebeker, DDS, M.S.
Pediatric Dentistry · Caldwell, ID
NPI number
1609106012
Active
Practice location
4111 Clocktower Ave.
Caldwell, ID 83607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D-4483-PD (ID) |
| Pediatric Dentistry | 1223P0221X | 8147013-9923 (UT) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Caldwell
About NPI 1609106012
Cordell Denton Nebeker, DDS, M.S.'s National Provider Identifier is 1609106012, issued on Jan 7, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Caldwell, ID. The record was last updated on Mar 26, 2024.