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Id Specialty Dental Services, PLLC — NPI 1952086845, Coeur D Alene, ID | NPI Central

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NPI 1952086845

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Id Specialty Dental Services, PLLC

NPI 1952086845 · Orthodontics and Dentofacial Orthopedics Dentistry · Coeur D Alene, ID

Provider details

NPI number: 1952086845
Entity type: Organization
Primary specialty: Orthodontics and Dentofacial Orthopedics DentistryDental Providers
Parent organization: Id Specialty Dental Services, PLLC
Organization subpart: Yes
Authorized official: Charlotte Dasch, Director of Credentialing & Prov Re(504) 638-0303

Specialties & taxonomies

Orthodontics and Dentofacial Orthopedics DentistryPrimary1223X0400X
Dental Providers

Practice location

2140 W Riverstone Dr

Coeur D Alene, ID 83814-4967

Phone: (208) 667-3209

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1610 54th Ave N Ste 205

Nashville, TN 37209-1442

Other names (DBA / former)

Doing business as: Riverstone Orthodontics

Registry dates

Enumerated: 2023-06-19
Last updated: 2023-06-19
Certified: 2023-06-19

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