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Dr. Nathan Gary Bourassa, DDS
General Practice Dentistry in Post Falls, Idaho
NPI 1669662995

Nathan Gary Bourassa is a General Practice Dentistry based in Post Falls, ID and is specialized in General Practice. Nathan Gary Bourassa practices in Post Falls, ID and has the professional credentials of DDS. The NPI Number for Nathan Gary Bourassa is 1669662995 and holds a License No. D-4076 (Idaho).

The current practice location address for Nathan Gary Bourassa is 105 E 10Th Ave Ste B, Post Falls, ID and can be reached out via phone at 208-773-8388 and via fax at 208-777-0346. You can also correspond with Nathan Gary Bourassa through the mailing address at 105 E 10TH AVE STE B, POST FALLS, ID - 83854-5125 (mailing address contact number: 208-773-8388).

Location: 105 E 10Th Ave Ste B, Post Falls, ID, 83854-5125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669662995
Provider Name
Nathan Gary Bourassa
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
105 E 10Th Ave Ste B, Post Falls, ID, 83854-5125
Phone Number
208-773-8388
Fax Number
208-777-0346
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 E 10Th Ave Ste B
City
Post Falls
State
Idaho
Zip
83854-5125
Phone Number
208-773-8388
Fax Number
208-777-0346
person
Provider Business Mailing Address Details
Address
105 E 10Th Ave Ste B
City
Post Falls
State
Idaho
Zip
83854-5125
Phone Number
208-773-8388
Fax Number
208-777-0346
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-4076 (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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