Kootenai Dental Group, LLC
Kootenai Dental Group, LLC is a General Practice Dentistry in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
555 W Canfield AveCoeur D Alene, ID 83815-7892
Phone: (208) 762-8750
Fax: (208) 762-2530
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence ID03049 (ID) |
|---|
Record details
| NPI number | 1265532261 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Delwyn Dick — Ceo · (208) 762-8750 |
| Other names | Delwyn Lee Dick, D.D.S. |
| NPI enumerated | September 22, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 555 W. Canfield Avenue, Coeur D'Alene, ID 83815-7892 |
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