IndividualActive
Chandler Bozarth, DDS
NPI 1497434823 · Dentist · Coeur D Alene, ID
Provider details
- NPI number
- 1497434823
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6471081 (ID)
Practice location
1090 W Park Pl Ste B
Coeur D Alene, ID 83814-2785
Phone: (208) 292-0697
Mailing address
1090 W Park Pl
Coeur D Alene, ID 83814-2785
Registry dates
- Enumerated
- 2023-07-13
- Last updated
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.