Artisan Dental
LBN: Nathan Bourassa Dds Pa
Artisan Dental is an health care organization with primary practice located at 509 W Hanley Ave Ste 102 , Coeur D Alene ID 83815-8994. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Nathan Bourassa Dds Pa can be contacted via phone (208) 664-9506, or through Bourassa, Nathan Gary via phone (208) 664-9506.
Contact Information
Primary practice address
509 W Hanley Ave Ste 102
Coeur D Alene ID 83815-8994
Phone: (208) 664-9506
Fax: (208) 665-1598
Website:
Authorized official contact:
Name: Bourassa, Nathan Gary Doctor of Dental Surgery (DDS)
Phone: (208) 664-9506
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D4076 | Idaho |
Profile Details
| NPI number | 1588077598 |
|---|---|
| LBN Legal business name | Nathan Bourassa Dds Pa |
| DBA Doing business as | Artisan Dental |
| Authorized official | Bourassa, Nathan Gary Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 6th, 2014 |
| Last updated | Jun 6th, 2014 - about 12 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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