Organization · Type 2 NPI

Brent R. Unruh, Dmd, PA

Periodontics · Coeur D Alene, ID

NPI number 1881746048 Active

Practice location

1717 Lincoln Way, Suite 107
Coeur D Alene, ID 83814-2556

Call (208) 664-0489 Map

Fax (208) 769-7339

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD-1764 (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.

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About NPI 1881746048

Brent R. Unruh, Dmd, PA's National Provider Identifier is 1881746048, issued on Jan 17, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 22, 2020.