Organization · Type 2 NPI

John M Ukich, Dds,pa

Pediatric Dentistry · Coeur D Alene, ID

NPI number 1295906063 Active

Practice location

1717 Lincoln Way, Suite 205
Coeur D Alene, ID 83814-2556

Call (208) 667-3556 Map

Fax (208) 066-4681

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD1656 (ID)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

8 other providers at this address

About NPI 1295906063

John M Ukich, Dds,pa's National Provider Identifier is 1295906063, issued on Mar 19, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Coeur D Alene, ID. The record was last updated on Mar 19, 2008.