# CASCADE FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184282170
- **Authorized official:** RICHARD DEE STOKER DMD (PRESIDENT)
- **Authorized official phone:** (208) 589-9107

## Contact information

- **Practice address:** 839 S MAIN ST, CASCADE, ID 83611
- **Practice address phone:** (208) 382-8200
- **Mailing address:** 262 N 4232 E, RIGBY, ID 83442-5067
- **Mailing address phone:** (208) 589-9107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2019
- **Last updated:** 06/04/2019
