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Backcountry Dental Docs, LLC — NPI 1235790510, Kellogg, ID | NPI Central

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NPI 1235790510

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Backcountry Dental Docs, LLC

NPI 1235790510 · Dentist · Kellogg, ID

Provider details

NPI number: 1235790510
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Hillary Berry, Manager(425) 409-1655

Specialties & taxonomies

DentistPrimary122300000X
Dental Providers
Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities

Practice location

109 Mckinley Ave

Kellogg, ID 83837-2501

Phone: (208) 784-0545

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

2691 E Thomas Hill Dr

Coeur D Alene, ID 83815-6335

Registry dates

Enumerated: 2019-06-26
Last updated: 2022-10-03
Certified: 2022-10-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.