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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

POTLATCH FAMILY DENTAL, PC

Active Organization

General Dentistry · POTLATCH, ID

Registration Details

NPI Number
1245515832
Provider Type
Organization
NPI Issued
Oct 15, 2011 (14.550324935598 yrs)
Last Updated
Oct 15, 2011
License
D3984 (ID)

Practice Information

Address
225 6TH STREET
POTLATCH, ID, 83855
Browse ID providers · Browse ZIP 83855
Phone
2088750441
Fax
2088750972
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.