Lakeland Family Dental LLC

NPI #1790659746 in Rathdrum, Idaho

Provider Information

NPI Number: 1790659746
Entity Type: Organization
Organization Name: Lakeland Family Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 2, 2025
Last Updated: Oct 2, 2025

Practice Location

Address: 14596 N HIGHWAY 41
City: Rathdrum
State: Idaho
ZIP Code: 83858-8682
Phone: (208) 687-4455

Authorized Official

Name: KYRA LUCK
Title: OFFICE MANAGER
Phone: (208) 687-4455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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DR. Matthew David Nordlie, DMD	Dentist - General Practice	Rathdrum	AI Deep Dive
Daniel Whitesitt, DDS	Dentist - General Practice	Rathdrum	AI Deep Dive
DR. Lady-Jean M Ramsey, DMD	Dentist - General Practice	Hayden	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Lakeland Family Dental	Dentist - General Practice	Rathdrum	AI Deep Dive

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