NPI 1033371695

Bridgetower Dental

Organisation General Practice Dentistry Meridian, ID

Practice location

Address: 3250 N Towerbridge Way, Meridian, ID 83646-8347
Phone: (208) 898-9355
Fax: (208) 898-9363

Authorised official

Name: Thomas Urgel Cox
Title: Owner/Dentist
Phone: (208) 898-9355

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D3195 (ID)

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Registry record

NPI: 1033371695
Entity type: Organization
NPI issued: 25 Jun 2008
Record last updated: 25 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.