TWO RIVERS DENTAL, PLLC
NPI 1174829238
Dentist - General Practice in Mackay, ID

Active since February 07, 2011
304 S MAIN ST, MACKAY, ID 83251(208) 588-3316(208) 588-3166 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 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 1174829238) is a healthcare organization registered as a general practice in Mackay, Idaho and active in the NPI registry since February 2011. The organization lists Jed C Snow, Dentist, as its authorized official.

NPPES Registry Identity

NPI1174829238
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTWO RIVERS DENTAL, PLLC
Location Address304 S MAIN STMackay, ID 83251
Mailing AddressPo Box 86, 304 S Main StMackay, ID 83251 · (208) 588-3316 · Fax (208) 588-3166
Fax(208) 588-3166
Organization SubpartNo
Authorized OfficialJed C SnowDentist · (208) 588-3316
Enumeration DateFebruary 7, 2011
NPI 1174829238 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 · D4109
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.
304 S MAIN ST, Mackay, ID 83251

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 MULTIPLE SINGLE SPECIALTY GROUP

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 1174829238. It was assigned to this organization in the NPPES registry on February 7, 2011.

Where is Two Rivers Dental, PLLC located?

Two Rivers Dental, PLLC is located at 304 S Main St, Mackay, ID 83251. The listed phone number is (208) 588-3316.

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 February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.