Town Square Dental Pllc

NPI #1124534433 in Rupert, Idaho

Provider Information

NPI Number: 1124534433
Entity Type: Organization
Organization Name: Town Square Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 21, 2017
Last Updated: Sep 27, 2023

Practice Location

Address: 502 8TH ST
City: Rupert
State: Idaho
ZIP Code: 83350-1417
Phone: (208) 436-4747

Authorized Official

Name: DR. NATHAN A CATMULL, DDS
Title: OWNER
Phone: (208) 436-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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