Organization
COMMUNITY COUNCIL OF IDAHO INC
Active
Other names
CFC Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD CANTU (CLINIC ADMINISTRATOR)
(208) 528-7655
Entity
Organization
Contact information
Practice address
3387 MERLIN DR, IDAHO FALLS, ID 83404
(208) 281-1222
(208) 524-9390
Mailing address
2100 ALAN ST, IDAHO FALLS, ID 83404
(208) 528-7655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
—
1223G0001X
General Practice Dentistry
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
Other
Enumeration date
07/12/2023
Last updated
07/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us