Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHAN GARY BOURASSA, DDS
Active Sole ProprietorDR. NATHAN GARY BOURASSA, DDS is a General Dentistry healthcare provider located in POST FALLS, Idaho. NPI 1669662995 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · POST FALLS, ID
Registration Details
- NPI Number
- 1669662995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2007 (19.004435559833 yrs)
- Last Updated
- Aug 1, 2007
- License
-
D-4076 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 E 10TH AVE STE BPOST FALLS, ID, 838545125Browse ID providers · Browse ZIP 83854
- Phone
- 2087738388
- Fax
- 2087770346
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in POST FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DONNA S SCHAU | D.D.S | 1124030804 |
| RONALD EUGENE MENDENHALL | D.D.S. | 1790887297 |
| DR. SCOTT ALAN JOHNSON | D.D.S. | 1134211295 |
| KENNETH JAMES LYNN | DDS | 1881788008 |
| ERIN E ELLIOTT | DDS | 1629162862 |
| DR. SHAD RYAN HELM | DDS | 1801910054 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.