Cda Kids Dentistry Pllc

LBN: Cda Kids Dentistry Pllc
Cda Kids Dentistry Pllc is an health care organization with primary practice located at 1341 N Northwood Center Ct Ste B , Coeur D Alene ID 83814-2471. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Cda Kids Dentistry Pllc can be contacted via phone (208) 500-2204, or through Morin, Devin via phone (502) 712-9561.

Contact Information

Primary practice address
1341 N Northwood Center Ct Ste B Coeur D Alene ID 83814-2471
Phone: (208) 500-2204
Fax: (208) 619-4619
Website:
Map and Directions
Authorized official contact:
Name: Morin, Devin Doctor of Dental Medicine (DMD)
Phone: (502) 712-9561

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1689346736
LBN Legal business name Cda Kids Dentistry Pllc
DBA Doing business as
Authorized official Morin, Devin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2021
Last updated Sep 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689346736 NPPES
Washington MEDICAID 2138247
Washington MEDICAID 44756

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