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Contact Information

CORNERSTONE FAMILY & COSMETIC DENTISTRY
143 EAST LAKE STREET
MCCALL, ID83638
 Phone: 208-634-5255
 Fax: 208-634-1047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CORNERSTONE FAMILY COSMETIC DENTISTRY · (Female)

NPI Number 1629295274
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # D3280
  • ID License # D3826
  • ID Other 6P005 DR ELLIOTT BC BS
  • ID Other 00001156002 DR ELLIOTT REGENCE BS
  • ID Other 6P003 DR. NEWTON BC BS
  • ID Other 000010155075 DR. NEWTON REGENCE BS
  • ID Other 1913080 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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