- Dental Clinic in Coeur D'alene, ID

is a dental clinic (Dentist - General Practice) in Coeur D'alene, Idaho. The current practice location for is 555 W. Canfield Avenue, Coeur D'alene, Idaho. For appointments, you can reach them via phone at (208) 762-8750. The mailing address for is 555 W. Canfield Avenue, Coeur D'alene, Idaho and phone number is (208) 762-8750.

is licensed to practice in Idaho (license number ID03049) and its NPI number is 1265532261. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (208) 762-8750.

Full Name
Speciality	Dentist - General Practice
Location	555 W. Canfield Avenue, Coeur D'alene, Idaho
Authorized Official Name and Position	Delwyn Lee Dick (CEO)
Authorized Official Contact	2087628750
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address	Practice Location Address
555 W. Canfield Avenue Coeur D'alene ID 83815-7892 Ph: (208) 762-8750	555 W. Canfield Avenue Coeur D'alene ID 83815-7892 Ph: (208) 762-8750

NPI Number	1265532261
Provider Enumeration Date	09/22/2006
Last Update Date	08/22/2020

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265532261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	ID03049 (Idaho)	Primary

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Dental Clinics in Coeur D'alene, ID