Organization · Type 2 NPI

John M Ukich

Pediatric Dentistry · Sandpoint, ID

NPI number 1720259484 Active

Practice location

1310 Ponderosa Dr, Suite B
Sandpoint, ID 83864-5073

Fax (208) 255-5420

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	D1656 (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.

Another provider at this address

Kevin Bradley Johnson, DDSGeneral Practice Dentistry Sandpoint, ID NPI 1740615293

NPI record

NPI: 1720259484
Entity type: Organization (Type 2)
Issued: Mar 20, 2008
Last updated: Mar 20, 2008
Status: Active
Subpart: Yes of John M Ukich, Dds, PA

Other names

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Pediatric Dental Center of North Idaho · doing business as

Authorized official

John M Ukich
President
(208) 667-3556

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720259484

John M Ukich's National Provider Identifier is 1720259484, issued on Mar 20, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sandpoint, ID. The record was last updated on Mar 20, 2008.