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Contact Information

LAKE CITY DENTAL
6176 GOVERNMENT WAY
COEUR D'ALENE, ID83815
 Phone: 208-664-6476
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LAKE CITY DENTAL

NPI Number 1275871329
LBN Legal business name LAKE CITY DENTAL
Authorized official GARY BILLS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2013
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
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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