Nathan Bourassa Dds Pa is a Dental Clinic in Coeur D Alene, Idaho. It is located at 509 W Hanley Ave Ste 102, Coeur D Alene, ID and its contact number is 208-664-9506. The authorized person for Nathan Bourassa Dds Pa is Dr. Nathan Gary Bourassa
who is President of the clinic and their contact number is 208-664-9506. The primary license number for Nathan Bourassa Dds Pa is D4076 (Dentist) in Idaho.
Nathan Bourassa Dds Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Nathan Bourassa Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Nathan Bourassa Dds Pa |
| Specialization: | Dentistry |
| Clinic Address: | 509 W Hanley Ave Ste 102, Coeur D Alene,
Idaho, 83815-8994 |
| Phone: | 208-664-9506 |
| Fax: | 208-665-1598 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Nathan Gary Bourassa |
| Position: | President |
| Contact Number: | 208-664-9506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Nathan Bourassa Dds Pa clinic are as mentioned below.
| NPI Number: | 1588077598 |
| NPI Enumeration Date: | 06 Jun, 2014 |
| NPI Last Update On: | 06 Jun, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nathan Bourassa Dds Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | D4076 | Idaho | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nathan Bourassa Dds Pa
509 W Hanley Ave Ste 102,
Coeur D Alene, Idaho |
| Zip: | 83815-8994 |
| Phone Number: | 208-664-9506 |
| Fax Number: | 208-665-1598 |
Patients can reach Nathan Bourassa Dds Pa at
509 W Hanley Ave Ste 102, Coeur D Alene, Idaho or can
call to book an appointment on 208-664-9506.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.