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

KOOTENAI FAMILY DENTAL, PA

Active Organization

KOOTENAI FAMILY DENTAL, PA is a Dentist organization located in COEUR DALENE, Idaho. NPI 1942317664 is currently active in the NPPES registry. Verify at CMS.

Dentist · COEUR DALENE, ID

Registration Details

NPI Number
1942317664
Provider Type
Organization
NPI Issued
Aug 25, 2006 (20.003546715683 yrs)
Last Updated
Oct 6, 2008
License
3794 (ID)

Practice Information

Address
1420 LINCOLN WAY
SUITE 200
COEUR DALENE, ID, 83814
Browse ID providers · Browse ZIP 83814
Phone
2086648283
Fax
2086670794
Primary Specialty
Dentist
122300000X
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.