| Idaho Family Dental Center, Pllc | |
|
509 W Hanley Ave Ste 201 Coeur D Alene ID 83815-8994 | |
| (208) 667-5447 | |
| Not Available |
| Full Name | Idaho Family Dental Center, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 509 W Hanley Ave Ste 201, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Matthew David Nordlie (OWNER/DENTIST) |
| Authorized Official Contact | 2532493581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Family Dental Center, Pllc 509 W Hanley Ave Ste 201 Coeur D Alene ID 83815-8994 Ph: (208) 667-5447 | Idaho Family Dental Center, Pllc 509 W Hanley Ave Ste 201 Coeur D Alene ID 83815-8994 Ph: (208) 667-5447 |
| NPI Number | 1811625700 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811625700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Coeur D' Alene Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 E Sherman Ave, Coeur D Alene, ID 83814 Phone: 208-667-0655 Fax: 208-667-5745 | |
Cherilee C Bloom Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 W Canfield Ave, Coeur D Alene, ID 83815 Phone: 108-762-2544 Fax: 208-762-9563 | |
Sleep Apnea & Breathing Therapy Northwest, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 N Fruitland Ln, Coeur D Alene, ID 83815 Phone: 208-660-4880 | |
Marston T Westbrook , Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr, Suite 301, Coeur D Alene, ID 83814 Phone: 208-664-0844 Fax: 208-664-9682 | |
Coeur D Alene Family Dentisrty Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 N Government Way, Suite G, Coeur D Alene, ID 83814 Phone: 208-664-9129 Fax: 208-664-9120 | |
Daniel B. Davidson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 W Hanley Ave, Suite 201, Coeur D Alene, ID 83815 Phone: 208-667-5447 Fax: 208-666-8918 | |
Jaeger Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Lincoln Way, #203, Coeur D Alene, ID 83814 Phone: 208-667-3341 |