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

NATHAN BOURASSA DDS PA

Active Organization

NATHAN BOURASSA DDS PA is a Dentist organization located in COEUR D ALENE, Idaho. NPI 1588077598 is currently active in the NPPES registry. Verify at CMS.

Dentist · COEUR D ALENE, ID

Registration Details

NPI Number
1588077598
Provider Type
Organization
NPI Issued
Jun 6, 2014 (12.198903375244 yrs)
Last Updated
Jun 6, 2014
License
D4076 (ID)

Practice Information

Address
509 W HANLEY AVE STE 102
COEUR D ALENE, ID, 838158994
Browse ID providers · Browse ZIP 83815
Phone
2086649506
Fax
2086651598
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in COEUR D ALENE, ID

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.