BRENT R. UNRUH, DMD, PA (NPI# 1881746048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881746048 |
| Entity Type | Organization |
| Organization Name | BRENT R. UNRUH, DMD, PA |
| Practice Address |
1717 Lincoln Way Suite 107 Coeur D Alene ID 83814-2556 |
| Practice Telephone | 2086640489 |
| Practice Fax Number | 2087697339 |
| Mailing Telephone | 2086640489 |
| Mailing Fax Number | 2087697339 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRENT UNRUH (PRESIDENT) |
| Authorized Official Telephone | 2086640489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D-1764 | ID | Dental Providers |
| Street Address |
1717 LINCOLN WAY SUITE 107 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235219361 | Thomas Richard Smart | Dentist | 1717 Lincoln Way, Suite 204, Coeur D Alene, ID 83814-2556 | 2006-10-16 |
| 1235588781 | Thomas Lee Jaeger Dds Pa | Dentist | 1717 Lincoln Way, #203, Coeur D Alene, ID 83814-2556 | 2016-06-06 |
| 1083976146 | Jennifer Keane | Counselor | 1717 Lincoln Way, Suite 101, Coeur D Alene, ID 83814-2556 | 2012-06-13 |
| 1598926867 | Jaeger Curtis Orthodontics | Dentist | 1717 Lincoln Way, Suite 203, Coeur D Alene, ID 83814-2556 | 2008-06-19 |
| 1295906063 | John M Ukich, Dds,pa | Dentist | 1717 Lincoln Way, Suite 205, Coeur D Alene, ID 83814-2556 | 2008-03-19 |
| 1619195310 | Brent Unruh | Dentist | 1717 Lincoln Way, Suite 107, Coeur D Alene, ID 83814-2556 | 2007-04-20 |
| 1902950041 | John M Ukich | Dentist | 1717 Lincoln Way, Suite 205, Coeur D Alene, ID 83814-2556 | 2007-01-23 |
| 1972657922 | John R Ukich | Dentist | 1717 Lincoln Way, Suite 205, Coeur D Alene, ID 83814-2556 | 2007-01-23 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619195310 | Brent Unruh | Dentist | 1717 Lincoln Way, Suite 107, Coeur D Alene, ID 83814-2556 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972968998 | Treasure Valley Periodontics | Dentist | 813 N Stilson Rd Ste C, Boise, ID 83703-5119 | 2015-12-17 |
| 1689077026 | Florence and Lincks and Associates | Dentist | 140 E Boise Ave Ste A, Boise, ID 83706-4374 | 2014-09-30 |
| 1588827125 | Richard E. Ferguson D.d.s.,m.s. Pa | Dentist | 813 Stilson Rd Ste C, Boise, ID 83703-5119 | 2008-07-03 |
| 1225255748 | Jason M Peterson | Dentist | 1980 1st St, Idaho Falls, ID 83401-4342 | 2007-04-18 |
| 1245310036 | Kenneth G. Sherman II | Dentist | 1228 N Cole Rd, Boise, ID 83704-8646 | 2006-10-16 |
| 1497835599 | Joel Newton | Dentist | 2064 Washington Street North, Twin Falls, ID 83301 | 2006-10-16 |
| 1710096896 | Bradley J. Morlock, D.d.s.,p.c. | Dentist | 3323 4th St, Lewiston, ID 83501-4423 | 2006-08-30 |
| 1700994852 | Bradley Lynn Townsend | Dentist | 6019 N. Eagle Rd., Boise, ID 83713 | 2006-08-28 |
| 1235147281 | Michael John Florence | Dentist | 140 East Boise Avenue, Boise, ID 83706 | 2006-08-04 |
| 1346224458 | Jack H Lincks | Dentist | 140 E Boise Ave, Boise, ID 83706-4373 | 2005-12-01 |
| 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.