Organization · Type 2 NPI

Kootenai Family Dental PLLC

Dental Clinic/Center · Coeur D Alene, ID

NPI number 1063330892 Active

Practice location

1420 Lincoln Way Ste 200
Coeur D Alene, ID 83814-2360

Call (208) 664-8283 Map

Fax (208) 667-0794

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1063330892

Kootenai Family Dental PLLC's National Provider Identifier is 1063330892, issued on Jul 8, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2026.