OrganizationActive
Avondale Dental Center, L.L.C.
NPI 1174758619 · Dentist · Hayden Lake, ID
Avondale Dental Center, L.L.C. is a Dentist organization in Hayden Lake, ID (NPI 1174758619).
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
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1683 E. Miles Ave.
Hayden Lake, ID 83835-9109
Phone: (208) 772-4066
Street-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
Frequently asked questions
- What is Avondale Dental Center, L.L.C.'s NPI number?
- Avondale Dental Center, L.L.C.'s National Provider Identifier (NPI) is 1174758619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avondale Dental Center, L.L.C.?
- Avondale Dental Center, L.L.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Avondale Dental Center, L.L.C. located?
- Avondale Dental Center, L.L.C.'s practice location on file with NPPES is 1683 E. Miles Ave., Hayden Lake, ID 83835-9109.
- What is Avondale Dental Center, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Avondale Dental Center, L.L.C. is (208) 772-4066.
- Who is the authorized official for Avondale Dental Center, L.L.C.?
- The authorized official listed on Avondale Dental Center, L.L.C.'s NPPES record is James Robson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avondale Dental Center, L.L.C.'s NPI active?
- Yes — Avondale Dental Center, L.L.C.'s NPI (1174758619) is active in the NPPES registry as of the last update on 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.