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

Kootenai Family Dental PLLC

Organization Dental Clinic/Center · NPI 1063330892

Kootenai Family Dental PLLC is a Dental Clinic/Center in Coeur D Alene, 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

1420 Lincoln Way Ste 200
Coeur D Alene, ID 83814-2360
Phone: (208) 664-8283
Fax: (208) 667-0794
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 number1063330892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Larose — Owner/Dentist · (208) 664-8283
NPI enumeratedJuly 8, 2026
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address1420 Lincoln Way Ste 200, Coeur D Alene, ID 83814-2360

Other providers in Coeur D Alene