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

Backcountry Dental Docs, LLC

Organization Dentist · NPI 1235790510

Backcountry Dental Docs, LLC is a Dentist in Kellogg, Idaho. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 McKinley Ave
Kellogg, ID 83837-2501
Phone: (208) 784-0545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1235790510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hillary Berry — Manager · (425) 409-1655
NPI enumeratedJune 26, 2019
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing address2691 E Thomas Hill Dr, Coeur D Alene, ID 83815-6335

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