OrganizationActive
Avondale Dental Center, L.L.C.
NPI 1174758619 · Dentist · Hayden Lake, ID
Provider details
- NPI number
- 1174758619
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- James Robson, Owner(208) 772-4066
- License
- D1572 (ID)
Specialties & taxonomies
Dental Providers
Practice location
1683 E. Miles Ave.
Hayden Lake, ID 83835-9109
Phone: (208) 772-4066
Approximate (ZIP-level) locationGet directions
Mailing address
1683 E Miles Ave
Hayden Lake, ID 83835-9109
Registry dates
- Enumerated
- 2009-05-28
- Last updated
- 2009-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.