OrganizationActive
Coeur D' Alene Oral Surgery
NPI 1023398716 · Oral and Maxillofacial Surgery (Dentist) · Coeur D Alene, ID
Provider details
- NPI number
- 1023398716
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Thomas Walsh, Owner(208) 667-0655
- License
- D-1578-OS (ID)
Specialties & taxonomies
Dental Providers
Practice location
1027 E Sherman Ave
Coeur D Alene, ID 83814-4152
Phone: (208) 667-0655
Fax: (208) 667-5745
Approximate (ZIP-level) locationGet directions
Mailing address
1027 E Sherman Ave
Coeur D Alene, ID 83814-4152
Registry dates
- Enumerated
- 2011-08-25
- Last updated
- 2011-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.