LAKE CITY DENTAL (NPI# 1275871329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275871329 |
| Entity Type | Organization |
| Organization Name | LAKE CITY DENTAL |
| Practice Address |
6176 Government Way Coeur D'alene ID 83815 |
| Practice Telephone | 2086646476 |
| Mailing Telephone | (208) 664-6476 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2017-07-27 |
| Authorized Official Name | GARY BILLS (MANAGER) |
| Authorized Official Telephone | 2086646476 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578840245 | Lake City Dental | Dentist | 844 S Marion Ave, Lake City, FL 32025-5855 | 2011-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | LAKE CITY DENTAL SOLUTIONS, PC | 1151 W, 300 S, Warsaw, IN 46580 |
| Street Address |
6176 GOVERNMENT WAY |
| City | COEUR D'ALENE |
| State | ID |
| Zip Code | 83815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| 1023255437 | Billie Jo Davis | Counselor | 21 Ironwood Dr., Suite D Pmd 106, Coeur D Alene, ID 83815 | 2009-01-08 |
| Find all providers in zip 83815 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326393786 | Laser Dentistry of Coeur D'alene | Dentist | 910 W. Ironwood Dr., Coeur D'alene, ID 83814 | 2012-07-20 |
| 1205120441 | Donald J Johnson Dds Inc | Dentist | 114 W Neider Ave, Coeur D'alene, ID 83815-9300 | 2011-06-06 |
| 1629153150 | Donald J Johnson | Dentist | 114 W. Neider Ave., Coeur D'alene, ID 83815 | 2006-10-25 |
| 1265532261 | Kootenai Dental Group, LLC | Dentist | 555 W. Canfield Avenue, Coeur D'alene, ID 83815-7892 | 2006-09-22 |
| 1841396082 | Kent E Mosby | Dentist | 910 W Ironwood Dr, Coeur D'alene, ID 83814 | 2006-09-15 |
| 1548600265 | Gary Bills | Dentist | 700 Ironwood Dr, Ste 218, Coeur D'alene, ID 83814 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1740835248 | Braden Comstock | Dentist | 2329 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950 | 2019-08-02 |
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1104483122 | Meghan Cyrena Bristlin | Dentist | 3326 4th St Ste 3, Lewiston, ID 83501-4455 | 2019-05-24 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D'ALENE |
| Zip Code | 83815 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.