GATES DENTISTRY, PLLC (NPI# 1710364427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710364427 |
| Entity Type | Organization |
| Organization Name | GATES DENTISTRY, PLLC |
| Other Organization Name | NORTH IDAHO DENTAL GROUP |
| Practice Address |
2165 N. Merritt Creek Loop Coeur D Alene ID 83814 |
| Practice Telephone | 2086678282 |
| Practice Fax Number | 2086679557 |
| Mailing Telephone | 2086678282 |
| Mailing Fax Number | 2086679557 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | MR. BENJAMIN L GATES (DENTIST/OWNER) |
| Authorized Official Telephone | 2086917408 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D3355 | ID | Dental Providers |
| Other Name | Type Code |
|---|---|
| North Idaho Dental Group | Doing Business As Name - Organization |
| Street Address |
2165 N. MERRITT CREEK LOOP |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023398716 | Coeur D' Alene Oral Surgery | Dentist | 1027 E Sherman Ave, Coeur D Alene, ID 83814-4152 | 2011-08-25 |
| 1689744831 | Daniel Ray Cullum | Dentist | 1859 N Lakewood Dr, Suite 101, Coeur D Alene, ID 83814-2661 | 2006-11-08 |
| 1699851964 | Margaret Anne Schmitt | Dentist | 511 W Hanley Ave, Suite C, Coeur D Alene, ID 83815-8995 | 2006-10-31 |
| 1386020550 | Dr. Daniel R Cullum Pa | Dentist | 1859 N Lakewood Dr, Ste 101, Coeur D Alene, ID 83814-2661 | 2015-08-10 |
| 1528467925 | Griffitts Facial and Oral Surgery | Dentist | 511 W Hanley Ave, Suite C, Coeur D Alene, ID 83815-8995 | 2014-08-21 |
| 1609191253 | Trevor Griffitts | Dentist | 511 W Hanley Ave, Suite C, Coeur D Alene, ID 83815-8995 | 2010-04-06 |
| 1114161551 | Marston T Westbrook, Dds, LLC | Dentist | 980 W Ironwood Dr, Suite 301, Coeur D Alene, ID 83814-2668 | 2009-04-29 |
| 1265549968 | Marston Thorn Westbrook | Dentist | 980 W Ironwood Dr, Suite 301, Coeur D Alene, ID 83814-2668 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124433743 | Arman Haghighi | Dentist | 403 S 11th St Ste 300, Boise, ID 83702-6968 | 2014-06-23 |
| 1003242769 | Dewayne Laverne Briscoe | Dentist | 404 Fairway Loop, Sun Valley, ID 83353 | 2013-09-25 |
| 1013274661 | Treasure Valley Oral and Facial Surgery Pllc | Dentist | 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 | 2012-04-20 |
| 1487910733 | Timothy Tracy O'brien | Dentist | 1613 12th Ave Rd Ste A, Nampa, ID 83686-6183 | 2012-04-11 |
| 1861645202 | Michael Verlyn Dabell | Dentist | 1550 N Crestmont Dr Ste G, Meridian, ID 83642-2177 | 2008-10-29 |
| 1295993145 | Stephen W Holm | Dentist | 3326 4th St Ste 2, Lewiston, ID 83501-4455 | 2008-05-28 |
| 1376689646 | Timothy Ted Hopkins | Dentist | 590 Falls Ave, Twin Falls, ID 83301-3314 | 2007-01-30 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1184798811 | Mark Ensio Baker | Dentist | 165 N 14th Ave, Pocatello, ID 83201-4146 | 2006-11-17 |
| 1790892610 | Bruce Morrison | Dentist | 6363 W Emerald St, Suite 103, Boise, ID 83704-8783 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.