Search › Idaho › 1223G0001X
Grant Cordner, DMD
NPI 1457918500 · on the registry since 2019
Practice
- Address
- 72 S 1st E Ste 102
Rexburg, ID 83440 - Phone
- (208) 356-4900
- Fax
- (208) 359-1600
- Organisation at this address
- Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Upper Valley Community Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 2454 N 25th E Ste 201, Idaho Falls, ID
- 325 E Main St, Saint Anthony, ID
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho