Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Avondale Dental PLLC

Organization Dental Clinic/Center · NPI 1265340103

Avondale Dental PLLC provides Dental Clinic/Center services in Hayden Lake, Idaho. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1683 E Miles Ave
Hayden Lake, ID 83835-9109
Phone: (208) 772-4066
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1265340103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kory Wilson — Ceo · (208) 661-7879
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026
Mailing address1015 W Ironwood Dr, Coeur D Alene, ID 83814-2602