Organization · Type 2 NPI
Potlatch Family Dental, PC
General Practice Dentistry · Potlatch, ID
NPI number
1245515832
Active
Practice location
225 6th Street
Potlatch, ID 83855
Fax (208) 875-0972
Mailing address
PO Box 601
Potlatch, ID 83855-0601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D3984 (ID) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
About NPI 1245515832
Potlatch Family Dental, PC's National Provider Identifier is 1245515832, issued on Oct 15, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Potlatch, ID. The record was last updated on Oct 15, 2011.