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Potlatch Family Dental, Pc
General Practice Dentistry in Potlatch, Idaho
NPI 1245515832

Potlatch Family Dental, Pc is a General Practice Dentistry based in Potlatch, ID and is specialized in General Practice. Potlatch Family Dental, Pc practices in Potlatch, ID. The NPI Number for Potlatch Family Dental, Pc is 1245515832 and holds a License No. D3984 (Idaho).

The current practice location address for Potlatch Family Dental, Pc is 225 6Th Street, Potlatch, ID and can be reached out via phone at 208-875-0441 and via fax at 208-875-0972.

Location: 225 6Th Street, Potlatch, ID, 83855-0601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245515832
Provider Name
Potlatch Family Dental, Pc
Credential
Provider Entity Type
Organization
Address
225 6Th Street, Potlatch, ID, 83855-0601
Phone Number
208-875-0441
Fax Number
208-875-0972
Provider Enumeration Date
10/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8075010 05 ID
institution
Provider Business Practice Location Address Details
Address
225 6Th Street
City
Potlatch
State
Idaho
Zip
83855
Phone Number
208-875-0441
Fax Number
208-875-0972
person
Provider Business Mailing Address Details
Address
225 6Th Street
City
Potlatch
State
Idaho
Zip
83855
Phone Number
208-875-0441
Fax Number
208-875-0972
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D3984 (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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