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

Nathan Bourassa DDS PA

Organization Dentist · NPI 1588077598

Nathan Bourassa DDS PA is a Dentist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

509 W Hanley Ave Ste 102
Coeur D Alene, ID 83815-8994
Phone: (208) 664-9506
Fax: (208) 665-1598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D4076 (ID)

Record details

NPI number1588077598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Bourassa — President · (208) 664-9506
Other names Artisan Dental
NPI enumeratedJune 6, 2014
Last updated in NPPESJune 6, 2014
Mailing address509 W Hanley Ave Ste 102, Coeur D Alene, ID 83815-8994

Other providers in Coeur D Alene