Kootenai Family Dental, Pa in Coeur Dalene - Dentist
Kootenai Family Dental, Pa - NPI 1942317664
Kootenai Family Dental, Pa is a Dentist in Coeur Dalene, Idaho. Kootenai Family Dental, Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kootenai Family Dental, Pa is 1942317664. The last update date is 2008-10-06.
Kootenai Family Dental, Pa's current location address is 1420 Lincoln Way, Coeur Dalene, Idaho. You can contact this provider via phone number 2086648283 and fax number 2086670794. The mailing address for Kootenai Family Dental, Pa is 1420 Lincoln Way, Coeur Dalene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kootenai Family Dental, Pa |
|---|---|
| Address | 1420 Lincoln Way, Coeur Dalene, Idaho |
| Phone Number | 2086648283 |
| Fax Number | 2086670794 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Wilder L Robert |
| Credentials | DDS |
| Telephone Number | 2086648283 |
NPI Number Detail
| NPI Number | 1942317664 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2008-10-06 |
Provider Mailing Address Detail
| Address | 1420 Lincoln Way |
|---|---|
| City | Coeur Dalene |
| State | Idaho (ID) |
| Post Code | 83814 |
| Phone Number | 2086648283 |
| Fax Number | 2086670794 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3794 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Kootenai Family Dental, Pa's unique identification number?
The Kootenai Family Dental, Pa has been assigned the NPI (National Provider Identifier) Number 1942317664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kootenai Family Dental, Pa is located?
The Kootenai Family Dental, Pa is situated at the following address: 1420 Lincoln Way, Coeur Dalene, ID, 83814.
What is Kootenai Family Dental, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kootenai Family Dental, Pa is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Kootenai Family Dental, Pa receive its 1942317664 assignment from the Centers for Medicare & Medicaid Services?
The Kootenai Family Dental, Pa was assigned its 1942317664 by the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the information pertaining to Kootenai Family Dental, Pa most recently updated or revised?
The details related to Kootenai Family Dental, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-06.
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