Kootenai Family Dental, PA
Kootenai Family Dental, PA provides Dentist services in Coeur Dalene, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1420 Lincoln Way Ste 200Coeur Dalene, ID 83814 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 664-8283
Fax: (208) 667-0794
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 3794 (ID) |
|---|
Record details
| NPI number | 1942317664 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Wilder — Dentist · (208) 664-8283 |
| Other names | Kootenai Family Dental, Pa |
| NPI enumerated | August 25, 2006 |
| Last updated in NPPES | October 6, 2008 |
| Mailing address | 1420 Lincoln Way, Suite 200, Coeur Dalene, ID 83814 |