Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKE CITY DENTAL SPECIALTIES, PC
Active OrganizationLAKE CITY DENTAL SPECIALTIES, PC is a Periodontology organization located in COEUR D ALENE, Idaho. NPI 1356693915 is currently active in the NPPES registry. Verify at CMS.
Periodontology · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1356693915
- Provider Type
- Organization
- NPI Issued
- Oct 7, 2012 (13.868978620513 yrs)
- Last Updated
- Oct 7, 2012
- Licenses
-
D4420EN (ID)D4420PE (ID)
Practice Information
- Address
-
1322 W KATHLEEN AVE STE 2COEUR D ALENE, ID, 838157365Browse ID providers · Browse ZIP 83815
- Phone
- 2086647300
- Fax
- 2086647333
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Organizations in COEUR D ALENE, ID
| Name | NPI |
|---|---|
| BRENT R. UNRUH, DMD, PA | 1881746048 |
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.