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Contact Information

CORNERSTONE FAMILY DENTAL PLLC
44 S CENTER ST
REXBURG, ID83440-3016
 Phone: 208-356-4240
 Fax: 208-356-5361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CORNERSTONE FAMILY DENTAL PLLC

NPI # 1013374461
LBN Legal business name CORNERSTONE FAMILY DENTAL PLLC
Authorized official THOMAS SNARR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2016
Last updated 01/15/2016 - About 10 years ago
Identifiers
ID Medicaid 9196514
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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