Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmen Lee Koepl

Individual provider Dental Hygienist · NPI 1073095501

Carmen Lee Koepl is a Dental Hygienist in Moscow, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2018.

Licensed in
ID, WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

803 S Main St Ste 120
Moscow, ID 83843-2695
Phone: (208) 848-8300
Fax: (208) 882-5587
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DH-3679 (ID)
Dental Hygienist Taxonomy 124Q00000X · Licence DH60888742 (WA)

Record details

NPI number1073095501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2018
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Other providers in Moscow