is a Prosthetic Dentistry Clinic in Sandpoint, Idaho. It is located at 1323 Michigan St, Sandpoint, ID and its contact number is 208-263-6393. The authorized person for is Dr. Darrel Laverne Mooney
who is Ownwe of the clinic and their contact number is 208-841-5038. The primary license number for is D1650PR (Prosthodontics) in Idaho. Clinic is specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Prosthetic Dentistry
Clinic Address:
1323 Michigan St, Sandpoint, Idaho, 83864-1747
Phone:
208-263-6393
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. Darrel Laverne Mooney
Position:
Ownwe
Contact Number:
208-841-5038
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 clinic are as mentioned below.
NPI Number:
1710147087
NPI Enumeration Date:
11 Jun, 2008
NPI Last Update On:
11 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Prosthodontics
D1650PR
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:
347 Crooked Ear Ct, Sandpoint, Idaho
Zip:
83864-9477
Phone Number:
208-841-5038
Patients can reach at 1323 Michigan St, Sandpoint, Idaho or can call to book an appointment on 208-263-6393. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.