Potlatch Family Dental, PC
Potlatch Family Dental, PC provides General Practice Dentistry in Potlatch, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
225 6th StPotlatch, ID 83855 Not confirmed with CMS for 14 years — call before visiting
Phone: (208) 875-0441
Fax: (208) 875-0972
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
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D3984 (ID) |
|---|
Record details
| NPI number | 1245515832 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ammon Pitt — Dentist · (208) 875-0441 |
| NPI enumerated | October 15, 2011 |
| Last updated in NPPES | October 15, 2011 |
| Mailing address | Po Box 601, Potlatch, ID 83855-0601 |