Id Specialty Dental Services, Pllc is a Orthodontics and Dentofacial Clinic in Coeur D Alene, Idaho. This organization is also known as sub part of Id Specialty Dental Services, Pllc. It is located at 2140 W Riverstone Dr, Coeur D Alene, ID and its contact number is 208-667-3209. The authorized person for Id Specialty Dental Services, Pllc is Charlotte Dasch
who is Director Of Credentialing & Prov Re of the clinic and their contact number is 504-638-0303. Id Specialty Dental Services, Pllc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Id Specialty Dental Services, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Id Specialty Dental Services, Pllc
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
2140 W Riverstone Dr, Coeur D Alene, Idaho, 83814-4967
Phone:
208-667-3209
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:
Charlotte Dasch
Position:
Director Of Credentialing & Prov Re
Contact Number:
504-638-0303
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 Id Specialty Dental Services, Pllc clinic are as mentioned below.
NPI Number:
1952086845
Parent Organization:
Id Specialty Dental Services, Pllc
NPI Enumeration Date:
19 Jun, 2023
NPI Last Update On:
19 Jun, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Id Specialty Dental Services, Pllc are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
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:
Id Specialty Dental Services, Pllc 1610 54th Ave N Ste 205, Nashville, Tennessee
Zip:
37209-1442
Phone Number:
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Patients can reach Id Specialty Dental Services, Pllc at 2140 W Riverstone Dr, Coeur D Alene, Idaho or can call to book an appointment on 208-667-3209. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.