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
Fax: (208) 665-1598
Website:
Authorized official contact:
Name: Bourassa, Nathan Gary Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #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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