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

Id Oms Specialty Dental Services, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1366119075

Id Oms Specialty Dental Services, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Coeur D Alene, Idaho. Registered with an NPI since 2021.

In the registry since
2021
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

1859 N Lakewood Dr Ste 101
Coeur D Alene, ID 83814-2661
Phone: (208) 667-5565
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

Record details

NPI number1366119075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Dasch — Director Of Provider Relations · (504) 638-0303
Other names Specialty Dental Brands
NPI enumeratedAugust 30, 2021
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021
Mailing address401 Church St Ste 1400, Nashville, TN 37219-2214

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