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

Carmen Lee Koepl

Individual provider Dental Hygienist · NPI 1073095501

Carmen Lee Koepl is a Dental Hygienist in Moscow, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2018.

Licensed in
ID, WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

803 S Main St Ste 120
Moscow, ID 83843-2695
Phone: (208) 848-8300
Fax: (208) 882-5587
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DH-3679 (ID)
Dental Hygienist Taxonomy 124Q00000X · Licence DH60888742 (WA)

Record details

NPI number1073095501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2018
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address611 N Iron Bridge Way, Spokane, WA 99202-4932

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