Organization · Type 2 NPI
Avondale Dental PLLC
Dental Clinic/Center · Hayden Lake, ID
NPI number
1265340103
Active
Practice location
1683 E Miles Ave
Hayden Lake, ID 83835-9109
Mailing address
1015 W Ironwood Dr
Coeur D Alene, ID 83814-2602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1265340103
Avondale Dental PLLC's National Provider Identifier is 1265340103, issued on Aug 31, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hayden Lake, ID. The record was last updated on Aug 31, 2026.