Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTESON IMPLANT AND RECONSTRUCTIVE DENTISTRY PC.
Active OrganizationMATTESON IMPLANT AND RECONSTRUCTIVE DENTISTRY PC. is a Pediatric Dentistry organization located in COEUR D ALENE, Idaho. NPI 1679096523 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1679096523
- Provider Type
- Organization
- NPI Issued
- Jul 24, 2017 (9.0690103993375 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
D-4027 (ID)D-4027 (ID)
Practice Information
- Address
-
801 W MILWAUKEE DRCOEUR D ALENE, ID, 838142236Browse ID providers · Browse ZIP 83814
- Phone
- 2086640884
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
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.