Individual provider · Type 1 NPI

John R. Ukich, DDS

Pediatric Dentistry · Coeur D Alene, ID

NPI number 1972657922 Active

Practice location

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

Fax (208) 664-6814

Mailing address

1492 E Twistwood Dr
Hayden Lake, ID 83835-7258

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD3742 (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

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About NPI 1972657922

John R. Ukich, DDS's National Provider Identifier is 1972657922, issued on Jan 23, 2007. 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 Jul 9, 2007.