National Provider Identifier Database

POTLATCH FAMILY DENTAL PC
General Practice

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.


Contact Information

POTLATCH FAMILY DENTAL, PC
225 6TH STREET
POTLATCH, ID83855
Phone: 208-875-0441
Fax: 208-875-0972
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for POTLATCH FAMILY DENTAL, PC

NPI Number 1245515832
Legal business name
LBN
POTLATCH FAMILY DENTAL, PC
Authorized official AMMON PITT - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 10/15/2011
Last updated 10/15/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: D3984
  • ID Medicaid: 8075010

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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