Kootenai Family Dental, Pa

LBN: Kootenai Family Dental, Pa
Kootenai Family Dental, Pa is an health care organization with primary practice located at 1420 Lincoln Way Suite 200, Coeur Dalene ID 83814. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Kootenai Family Dental, Pa can be contacted via phone (208) 664-8283, or through Wilder, Robert L via phone (208) 664-8283.

Contact Information

Primary practice address
1420 Lincoln Way Suite 200 Coeur Dalene ID 83814
Phone: (208) 664-8283
Fax: (208) 667-0794
Website:
Map and Directions
Authorized official contact:
Name: Wilder, Robert L Doctor of Dental Surgery (DDS)
Phone: (208) 664-8283

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3794 Idaho

Profile Details

NPI number 1942317664
LBN Legal business name Kootenai Family Dental, Pa
DBA Doing business as Kootenai Family Dental, Pa
Authorized official Wilder, Robert L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Oct 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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