OrganizationActive
Kootenai Dental Group, LLC
NPI 1265532261 · General Practice Dentistry · Coeur D'Alene, ID
Kootenai Dental Group, LLC is a General Practice Dentistry organization in Coeur D'Alene, ID (NPI 1265532261).
Provider details
- NPI number
- 1265532261
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Delwyn Dick, Ceo(208) 762-8750
- License
- ID03049 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
555 W. Canfield Avenue
Coeur D'Alene, ID 83815-7892
Phone: (208) 762-8750
Fax: (208) 762-2530
Street-level locationGet directions
Mailing address
555 W. Canfield Avenue
Coeur D'Alene, ID 83815-7892
Other names (DBA / former)
- Other name
- Delwyn Lee Dick, D.D.S.
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kootenai Dental Group, LLC's NPI number?
- Kootenai Dental Group, LLC's National Provider Identifier (NPI) is 1265532261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kootenai Dental Group, LLC?
- Kootenai Dental Group, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kootenai Dental Group, LLC located?
- Kootenai Dental Group, LLC's practice location on file with NPPES is 555 W. Canfield Avenue, Coeur D'Alene, ID 83815-7892.
- What is Kootenai Dental Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kootenai Dental Group, LLC is (208) 762-8750.
- Who is the authorized official for Kootenai Dental Group, LLC?
- The authorized official listed on Kootenai Dental Group, LLC's NPPES record is Delwyn Dick, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kootenai Dental Group, LLC's NPI active?
- Yes — Kootenai Dental Group, LLC's NPI (1265532261) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.