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Town Square Dental Pllc
General Practice Dentistry in Rupert, Idaho
NPI 1124534433

Town Square Dental Pllc is a General Practice Dentistry based in Rupert, ID and is specialized in General Practice. Town Square Dental Pllc practices in Rupert, ID. The NPI Number for Town Square Dental Pllc is 1124534433 and holds a License No. D4143 (Idaho).

The current practice location address for Town Square Dental Pllc is 502 8Th St, Rupert, ID and can be reached out via phone at 208-436-4747 and via fax at 208-436-9683.

Location: 502 8Th St, Rupert, ID, 83350-1417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124534433
Provider Name
Town Square Dental Pllc
Credential
Provider Entity Type
Organization
Address
502 8Th St, Rupert, ID, 83350-1417
Phone Number
208-436-4747
Fax Number
208-436-9683
Provider Enumeration Date
12/21/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28443 05 ID
institution
Provider Business Practice Location Address Details
Address
502 8Th St
City
Rupert
State
Idaho
Zip
83350-1417
Phone Number
208-436-4747
Fax Number
208-436-9683
person
Provider Business Mailing Address Details
Address
502 8Th St
City
Rupert
State
Idaho
Zip
83350-1417
Phone Number
208-436-4747
Fax Number
208-436-9683
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D4143 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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