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Contact Information

NORTHWEST ENDODONTICS PC
509 W HANLEY
STE 202
COEUR D'ALENE, ID83815
 Phone: 208-667-8622
 Fax: 208-664-2402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for NORTHWEST ENDODONTICS PC

NPI # 1972660769
LBN Legal business name NORTHWEST ENDODONTICS PC
Authorized official TIMOTHY PENBERTHY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2007
Last updated 08/04/2008 - About 18 years ago
Identifiers
ID License # D1930EN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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