OrganizationActive
Lake City Dental Specialties, PC
NPI 1356693915 · Periodontics · Coeur D Alene, ID
Lake City Dental Specialties, PC is a Periodontics organization in Coeur D Alene, ID (NPI 1356693915).
Provider details
- NPI number
- 1356693915
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Shaun Whitney, President(208) 664-7300
- License
- D4420EN (ID)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1322 W Kathleen Ave Ste 2
Coeur D Alene, ID 83815-7365
Phone: (208) 664-7300
Fax: (208) 664-7333
Street-level locationGet directions
Mailing address
1322 W Kathleen Ave Ste 2
Coeur D Alene, ID 83815-7365
Registry dates
- Enumerated
- 2012-10-07
- Last updated
- 2012-10-07
Frequently asked questions
- What is Lake City Dental Specialties, PC's NPI number?
- Lake City Dental Specialties, PC's National Provider Identifier (NPI) is 1356693915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake City Dental Specialties, PC?
- Lake City Dental Specialties, PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Lake City Dental Specialties, PC located?
- Lake City Dental Specialties, PC's practice location on file with NPPES is 1322 W Kathleen Ave Ste 2, Coeur D Alene, ID 83815-7365.
- What is Lake City Dental Specialties, PC's phone number?
- The practice phone number listed in the NPPES registry for Lake City Dental Specialties, PC is (208) 664-7300.
- Who is the authorized official for Lake City Dental Specialties, PC?
- The authorized official listed on Lake City Dental Specialties, PC's NPPES record is Shaun Whitney, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake City Dental Specialties, PC's NPI active?
- Yes — Lake City Dental Specialties, PC's NPI (1356693915) is active in the NPPES registry as of the last update on 2012-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.