Kootenai Dental Group, LLC
NPI #1265532261 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1265532261
- Entity Type
- Organization
- Organization Name
- Kootenai Dental Group, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 555 W. CANFIELD AVENUE
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83815-7892
- Phone
- (208) 762-8750
Authorized Official
- Name
- DR. DELWYN LEE DICK, DDS
- Title
- CEO
- Phone
- (208) 762-8750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Alexis Christine Larose, DDS |  AI Deep Dive |
| Gary Bills, DDS | AI Deep Dive |
| DR. Donald J Johnson, DDS | AI Deep Dive |
| DR. Kent E Mosby, DDS | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Donald J Johnson DDS INC | AI Deep Dive |
Want to research this healthcare provider further?