| Riverstone Dental Care | |
|
2344 N Merrit Creek Loop Coeur D Alene ID 83814-4950 | |
| (208) 676-8500 | |
| (208) 246-2400 |
| Full Name | Riverstone Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2344 N Merrit Creek Loop, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Douglas W Pulsipher (OWNER) |
| Authorized Official Contact | 2086768500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverstone Dental Care 2344 N Merrit Creek Loop Coeur D Alene ID 83814-4950 Ph: (208) 676-8500 | Riverstone Dental Care 2344 N Merrit Creek Loop Coeur D Alene ID 83814-4950 Ph: (208) 676-8500 |
| NPI Number | 1619197118 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619197118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3744 (Idaho) | Primary |
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