Two Rivers Dental, PLLC
Two Rivers Dental, PLLC is a General Practice Dentistry in Mackay, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
304 S Main StMackay, ID 83251
Phone: (208) 588-3316
Fax: (208) 588-3166
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D4109 (ID) |
|---|
Record details
| NPI number | 1174829238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jed Snow — Dentist · (208) 588-3316 |
| NPI enumerated | February 7, 2011 |
| Last updated in NPPES | February 7, 2011 |
| Mailing address | Po Box 86, 304 S Main St, Mackay, ID 83251 |