CORDELL DENTON NEBEKER


Address: 4111 Clocktower Ave., Caldwell, ID 83607
Phone: 2084536188

CORDELL DENTON NEBEKER (NPI# 1609106012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609106012
Entity Type Individual
Full Name CORDELL DENTON NEBEKER
Credential D.D.S., M.S.
Practice Address 4111 Clocktower Ave.
Caldwell
ID 83607
Practice Telephone 2084536188
Mailing Telephone 2084536188
Enumeration Date 2010-01-07
Last Update Date 2015-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
8147013-9923 UT Dental Providers

Office Location

Street Address 4111 CLOCKTOWER AVE.
City CALDWELL
State ID
Zip Code 83607

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265677587 Cory Shane Lindstrom Chiropractor 5216 E. Cleveland Blvd, Ste G, Caldwell, ID 83607 2008-12-16
1154533727 Reality Based Services Case Management 24151 El Paso Rd, Caldwell, ID 83607 2007-05-04
1407998271 Patrick L Waite Dentist 4101 Clock Tower Ave, Caldwell, ID 83607 2007-02-12
1104276377 Jae's Transportaion LLC Non-emergency Medical Transport (VAN) 14310 Tara St, Caldwell, ID 83607-1431 2016-06-17
1417224460 Rebecca Anne Tormey Physical Therapist 1202 Talon Ct, Caldwell, ID 83607-1579 2011-11-18
1174677603 Vallivue School District #139 Local Education Agency (LEA) 5207 S Montana Ave, Caldwell, ID 83607-1583 2007-01-22
1679026447 Kimberly Drewrey, Aprn, Np-c Point of Service 5210 Cleveland Blvd, Suite 140 #344, Caldwell, ID 83607-1796 2016-07-28
1619007903 Mandy R Redmond Specialist/Technologist 1407 E Homedale Rd, Caldwell, ID 83607-1848 2007-03-06
1326263179 Kira Ann Skroh Specialist/Technologist 1407 E Homedale Rd, Caldwell, ID 83607-1848 2007-04-16
1891318622 Casey Jay Milburn Behavior Technician 1109 Flint Dr, Caldwell, ID 83607-1859 2020-05-27
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801214135 Paige Schmidt Dentist 4111 Clock Tower Ave, Caldwell, ID 83607-5006 2014-04-03
1144661844 Smiles 4 Kids Caldwell Dentist 4111 Clock Tower Ave, Caldwell, ID 83607-5006 2013-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124657010 Rigby Pediatric Dental Pllc Dentist 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 2020-04-03
1154805786 Jmj Nampa LLC Dentist 914 12th Ave Rd, Nampa, ID 83686 2018-09-19
1932683752 Ikdo State Street LLC Dentist 9209 W State St, Garden City, ID 83714 2018-09-18
1902325749 Cherry Lane Kids Dentistry Dentist 1558 N Crestmont Dr Ste A, Meridian, ID 83642-2194 2017-09-13
1922462142 Our Town Family Dentistry Dentist 39 W Idaho St, Weiser, ID 83672-1943 2016-04-13
1720447097 Brock Coletti Dentist 3235 N Towerbridge Way Ste 200, Meridian, ID 83646-5721 2016-02-15
1154799047 Smiles 4 Kids Blackfoot Pllc Dentist 621 Jensen Grove Dr, Blackfoot, ID 83221-1685 2015-09-09
1982012498 Dallin J. Dance Dentist 1027 W. Prairie Ave., Hayden, ID 83835 2014-07-28
1679812002 Dentistry for Kids Pllc Dentist 625 E Alameda Rd., Pocatello, ID 83201 2013-02-05
1316192370 A Childs Smile Dentist 3299 E. 17th Street, Ammon, ID 83406 2008-11-18
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Competitor

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City CALDWELL
Zip Code 83607

Improve Information

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Dataset Information

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.

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