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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

NPI Number 1629295274
LBN Legal business name CORNERSTONE FAMILY & COSMETIC DENTISTRY
Authorized official KEVIN ELLIOTT - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 08/22/2020 - About 6 years ago
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
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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