Lake City Dental Specialties, Pc

LBN: Lake City Dental Specialties, Pc
Lake City Dental Specialties, Pc is an health care organization with primary practice located at 1322 W Kathleen Ave Ste 2 , Coeur D Alene ID 83815-7365. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty. Lake City Dental Specialties, Pc can be contacted via phone (208) 664-7300, or through Whitney, Shaun Michael via phone (208) 664-7300.

Contact Information

Primary practice address
1322 W Kathleen Ave Ste 2 Coeur D Alene ID 83815-7365
Phone: (208) 664-7300
Fax: (208) 664-7333
Website:
Map and Directions
Authorized official contact:
Name: Whitney, Shaun Michael Doctor of Dental Surgery (DDS)
Phone: (208) 664-7300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D4420EN Idaho
Dental Providers / Periodontics 1223P0300X D4420PE Idaho

Profile Details

NPI number 1356693915
LBN Legal business name Lake City Dental Specialties, Pc
DBA Doing business as
Authorized official Whitney, Shaun Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2012
Last updated Oct 7th, 2012 - about 13 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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