1. Home
  2. Directory
  3. Idaho
  4. Hailey
  5. Clinic Center
  6. NPI Profile

TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA
NPI 1639886898
Clinic/Center - Dental in Hailey, ID

Active since October 27, 2022
116 W BULLION ST, HAILEY, ID 83333(208) 788-4507 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2022, Oct 27, 2022 (2 updates tracked since 2022).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA

This page provides the complete NPI Profile along with additional information for Two Rivers Family & Cosmetic Dentistry, Pa, a provider established in Hailey, Idaho operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1639886898 assigned on October 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Claudette Kim Meyer (Office Manager)

NPI
1639886898 Verify this NPI
Provider Name
TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA
Entity Type
Organization
Location Address
116 W BULLION ST HAILEY, ID 83333
Location Phone
(208) 788-4507
Mailing Address
307 E PARK ST STE 103 MCCALL, ID 83638
Mailing Phone
(208) 634-5255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2022
Last Update Date
11-15-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAUDETTE KIM MEYER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(208) 634-5255

Reviews for TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA's NPI number?

The NPI number assigned to this healthcare provider is 1639886898, enumerated as an "organization" on October 27, 2022.

Where is the provider located?

The provider is located at 116 W BULLION ST HAILEY, ID 83333 and the phone number is (208) 788-4507.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.