TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA (NPI# 1871932392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871932392 |
| Entity Type | Organization |
| Organization Name | TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA |
| Practice Address |
616 S 10th Ave Caldwell ID 83605-4112 |
| Practice Telephone | 2084540473 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | SHANE NEWTON (PRESIDENT) |
| Authorized Official Telephone | 2085491732 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-3280 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947925 | Two Rivers Family & Cosmetic Dentistry, Pa | Clinic/Center | 939 Bryden Ave, Lewiston, ID 83501-5057 | 2019-05-14 |
| 1306362587 | Two Rivers Family & Cosmetic Dentistry, Pa | Dentist | 120 N A St, Grangeville, ID 83530-1211 | 2017-08-18 |
| Street Address |
616 S 10TH AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215041686 | David E Thomas | Dentist | 616 S 10th Ave, Caldwell, ID 83605-4112 | 2006-08-19 |
| 1356879720 | Keven Freeman Dmd Pllc | Clinic/Center | 616 S 10th Ave, Caldwell, ID 83605-4112 | 2017-05-30 |
| 1629451109 | Keven Freeman | Dentist | 616 S 10th Ave, Caldwell, ID 83605-4112 | 2015-07-02 |
| 1366602773 | David E Thomas, Dds Pa | Dentist | 616 S 10th Ave, Caldwell, ID 83605-4112 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760812135 | Mark Cushing | Dentist | 15753 Yoder Ave, Caldwell, ID 83607-8313 | 2013-11-20 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| 1790980852 | Fred Stephen Bauer | Dentist | 22 Smull Ave, Caldwell, NJ 07006-5012 | 2007-06-19 |
| 1942328760 | Bayan Rafee | Dentist | 155 Roseland Ave #6, Essex Dental Suit #6, Caldwell, NJ 07006 | 2007-03-27 |
| 1972627933 | Louis C Wade | Dentist | 103 E Ash St, Caldwell, ID 83605-5202 | 2007-03-16 |
| 1093869877 | Caldwell Dental Assoc | Dentist | 30 Academy Rd, Caldwell, NJ 07006 | 2007-01-22 |
| 1417009275 | Edward E Baker | Dentist | 45 Smull Avenue, Caldwell, NJ 07006 | 2007-01-18 |
| 1669557039 | John David Blaisdell | Dentist | 1916 Ellis Ave, Caldwell, ID 83605-4811 | 2006-10-26 |
| 1841398286 | Darin R Mooso | Dentist | 4105 Clock Tower Ave, Caldwell, ID 83607-5006 | 2006-09-20 |
| 1548375231 | Michael W Benedick | Dentist | 301 E Ash St, Caldwell, ID 83605-5282 | 2006-08-20 |
| Find all providers in CALDWELL | ||||
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| 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.