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TWO RIVERS DENTAL, PLLC
NPI 1114156064
Dentist - General Practice in Mtn Home, ID

Active since July 13, 2009
125 S 10TH E, MTN HOME, ID 83647(208) 587-4326 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Two Rivers Dental, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TWO RIVERS DENTAL, PLLC (NPI 1114156064) is a healthcare organization registered as a general practice in Mtn Home, Idaho and active in the NPI registry since July 2009. The organization lists Shane Newton, Owner, as its authorized official.

NPPES Registry Identity

NPI1114156064
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTWO RIVERS DENTAL, PLLC
Location Address125 S 10TH EMtn Home, ID 83647-3120
Mailing Address125 S 10th EMtn Home, ID 83647-3120 · (208) 587-4326
Phone(208) 587-4326
Organization SubpartNo
Authorized OfficialShane NewtonOwner · (208) 587-4326
Enumeration DateJuly 13, 2009
✔ NPI 1114156064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D3280
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.
125 S 10TH E, Mtn Home, ID 83647
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALANA CHRISTIAN DMD
Dentist
125 S 10TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 580-7091
PLAYHOUSE DENTISTRY FOR KIDS
Dentist (Pediatric Dentistry)
125 S 10TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 453-6188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Two Rivers Dental, PLLC's NPI number?

The NPI number for Two Rivers Dental, PLLC is 1114156064. It was assigned to this organization in the NPPES registry on July 13, 2009.

Where is Two Rivers Dental, PLLC located?

Two Rivers Dental, PLLC is located at 125 S 10th E, Mtn Home, ID 83647. The listed phone number is (208) 587-4326.

What is Two Rivers Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Two Rivers Dental, PLLC was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.