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Sandpoint Dental Cosmetics, Pllc
General Practice Dentistry in Ponderay, Idaho
NPI 1083933741

Sandpoint Dental Cosmetics, Pllc is a General Practice Dentistry based in Ponderay, ID and is specialized in General Practice. Sandpoint Dental Cosmetics, Pllc practices in Ponderay, ID. The NPI Number for Sandpoint Dental Cosmetics, Pllc is 1083933741 and holds a License No. D4103 (Idaho).

The current practice location address for Sandpoint Dental Cosmetics, Pllc is 30336 Highway 200, Ponderay, ID and can be reached out via phone at 208-255-1255 and via fax at 208-263-0490.

Location: 30336 Highway 200, Ponderay, ID, 83852-9775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083933741
Provider Name
Sandpoint Dental Cosmetics, Pllc
Credential
Provider Entity Type
Organization
Address
30336 Highway 200, Ponderay, ID, 83852-9775
Phone Number
208-255-1255
Fax Number
208-263-0490
Provider Enumeration Date
05/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831385590 01 ID NPI TYPE ONE
institution
Provider Business Practice Location Address Details
Address
30336 Highway 200
City
Ponderay
State
Idaho
Zip
83852-9775
Phone Number
208-255-1255
Fax Number
208-263-0490
person
Provider Business Mailing Address Details
Address
30336 Highway 200
City
Ponderay
State
Idaho
Zip
83852-9775
Phone Number
208-255-1255
Fax Number
208-263-0490
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D4103 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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