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John M Ukich
Pediatric Dentist in Sandpoint, Idaho
NPI 1720259484

John M Ukich is a Pediatric Dentist based in Sandpoint, ID and is specialized in Pediatric Dentistry. John M Ukich practices in Sandpoint, ID. The NPI Number for John M Ukich is 1720259484 and holds a License No. D1656 (Idaho).

The current practice location address for John M Ukich is 1310 Ponderosa Dr, Sandpoint, ID and can be reached out via phone at 208-255-5410 and via fax at 208-255-5420.

Location: 1310 Ponderosa Dr, Sandpoint, ID, 83864-5073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720259484
Provider Name
John M Ukich
Credential
Provider Entity Type
Organization
Address
1310 Ponderosa Dr, Sandpoint, ID, 83864-5073
Phone Number
208-255-5410
Fax Number
208-255-5420
Provider Enumeration Date
03/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1310 Ponderosa Dr
City
Sandpoint
State
Idaho
Zip
83864-5073
Phone Number
208-255-5410
Fax Number
208-255-5420
person
Provider Business Mailing Address Details
Address
1310 Ponderosa Dr
City
Sandpoint
State
Idaho
Zip
83864-5073
Phone Number
208-255-5410
Fax Number
208-255-5420
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D1656 (Idaho)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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