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

Lake City Dental Specialties, PC

Organization Endodontics · NPI 1356693915

Lake City Dental Specialties, PC is an Endodontics in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1322 W Kathleen Ave Ste 2
Coeur D Alene, ID 83815-7365
Phone: (208) 664-7300
Fax: (208) 664-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D4420PE (ID)
Endodontics Taxonomy 1223E0200X · Licence D4420EN (ID)

Record details

NPI number1356693915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaun Whitney — President · (208) 664-7300
NPI enumeratedOctober 7, 2012
Last updated in NPPESOctober 7, 2012
Mailing address1322 W Kathleen Ave Ste 2, Coeur D Alene, ID 83815-7365

Other providers in Coeur D Alene