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

Coeur D' Alene Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1023398716

Coeur D' Alene Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011

Practice location Address checks out

1027 E Sherman Ave
Coeur D Alene, ID 83814-4152
Phone: (208) 667-0655
Fax: (208) 667-5745
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D-1578-OS (ID)

Record details

NPI number1023398716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Walsh — Owner · (208) 667-0655
NPI enumeratedAugust 25, 2011
Last updated in NPPESAugust 25, 2011
Mailing address1027 E Sherman Ave, Coeur D Alene, ID 83814-4152

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