Organization · Type 2 NPI
Lake City Dental Specialties, PC
Periodontics · Coeur D Alene, ID
NPI number
1356693915
Active
Practice location
1322 W Kathleen Ave Ste 2
Coeur D Alene, ID 83815-7365
Fax (208) 664-7333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endodontics | 1223E0200X | D4420EN (ID) |
| Periodontics Primary | 1223P0300X | D4420PE (ID) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Coeur D Alene
About NPI 1356693915
Lake City Dental Specialties, PC's National Provider Identifier is 1356693915, issued on Oct 7, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Coeur D Alene, ID. The record was last updated on Oct 7, 2012.