North Idaho Dental Group

LBN: Mickelson-Gates Dentistry Pllc
North Idaho Dental Group is an health care organization with primary practice located at 2165 N Merritt Creek , Coeur D Alene ID 83814-8381. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dentist is the primary health care specialty. Mickelson-Gates Dentistry Pllc can be contacted via phone (208) 667-8282, or through Winter, Amy via phone (208) 667-8282.

Contact Information

Primary practice address
2165 N Merritt Creek Coeur D Alene ID 83814-8381
Phone: (208) 667-8282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Winter, Amy
Phone: (208) 667-8282

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1811537251
LBN Legal business name Mickelson-Gates Dentistry Pllc
DBA Doing business as North Idaho Dental Group
Authorized official Winter, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2020
Last updated Feb 3rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811537251 NPPES
Other 1184035115 CHACE MICKELSON

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