TWIN FALLS DENTAL GROUP PLLC (NPI# 1720520505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720520505 |
| Entity Type | Organization |
| Organization Name | TWIN FALLS DENTAL GROUP PLLC |
| Practice Address |
788 Eastland Dr Ste A Twin Falls ID 83301-6826 |
| Mailing Address |
3548 Washington Pkwy Idaho Falls ID 83404-4968 |
| Practice Telephone | 2087332621 |
| Practice Fax Number | 2087331086 |
| Mailing Telephone | 2085242300 |
| Mailing Fax Number | 2085458447 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | CHRISTOPHER HANSEN (DENTIST/PARTNER) |
| Authorized Official Telephone | 2087332621 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D4164 | ID | Dental Providers |
| Street Address |
788 EASTLAND DR STE A |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962816025 | Chase A Funk | Dentist | 1437 Parkview Drive, Twin Falls, ID 83301-3250 | 2014-06-17 |
| 1174776025 | William F Traynor | Dentist | 1186 Eastland Dr N Ste B, Twin Falls, ID 83301-8973 | 2008-10-23 |
| 1124287537 | Craig Rencher | Dentist | 342 Blue Lakes Blvd N, Twin Falls, ID 83301-4827 | 2008-06-02 |
| 1841494119 | Don S Wyatt | Dentist | 1415 Fillmore Suite 701, Twin Falls, ID 83301-3346 | 2007-06-12 |
| 1245369206 | Timothy Edward Thompson | Dentist | 241 4th Ave N, Twin Falls, ID 83301-6139 | 2007-03-05 |
| 1255474961 | Richard E. Alexander | Dentist | 506 Hansen St E, Twin Falls, ID 83301-6254 | 2007-02-14 |
| 1598819773 | Bryce R Barfuss | Dentist | 285 Canyon Crest Dr, Twin Falls, ID 83301-5359 | 2007-01-23 |
| 1033291687 | Brett B Lund | Dentist | 325 Martin St Ste B, Twin Falls, ID 83301-4563 | 2006-10-20 |
| 1023103561 | John Charles Roberts | Dentist | 256 Martin St., Twin Falls, ID 83301 | 2006-10-03 |
| 1659482503 | Eric Thomas | Dentist | 1218 Filer Ave E, Twin Falls, ID 83301-4117 | 2006-08-31 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on TWIN FALLS DENTAL GROUP PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.