Cottonwood Dental Care
Organization Active NPI Dentist · Cottonwood, CA
NPI 1154829224 · NPPES record last updated Jan 24, 2018
Key facts
- NPI
- 1154829224
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- D43003 (CA)
- Legal business name
- COTTONWOOD DENTAL CARE
- Practice address
- 3251 Chestnut Street
Cottonwood, CA 96022 - Phone
- (530) 347-4636
- Fax
- (530) 547-1871
- NPI assigned
- Jan 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Bruce Farrell, DDS
- Title
- Dentist
- Phone
- (530) 547-5744
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Cottonwood Dental Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D43003 | CA | Yes |
Addresses
Primary practice location
3251 Chestnut Street
Cottonwood, CA 96022
Mailing address
PO Box 1649
Cottonwood, CA 96022-1649
Phone (530) 347-4636
Other providers in Cottonwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.