Kootenai Dental Group, Llc is a Dental Clinic in Coeur D'alene, Idaho. It is located at 555 W. Canfield Avenue, Coeur D'alene, ID and its contact number is 208-762-8750. The authorized person for Kootenai Dental Group, Llc is Dr. Delwyn Lee Dick
who is Ceo of the clinic and their contact number is 208-762-8750. The primary license number for Kootenai Dental Group, Llc is ID03049 (General Practice) in Idaho.
Kootenai Dental Group, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Kootenai Dental Group, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kootenai Dental Group, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 555 W. Canfield Avenue, Coeur D'alene,
Idaho, 83815-7892 |
| Phone: | 208-762-8750 |
| Fax: | 208-762-2530 |
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. Delwyn Lee Dick |
| Position: | Ceo |
| Contact Number: | 208-762-8750 |
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 Kootenai Dental Group, Llc clinic are as mentioned below.
| NPI Number: | 1265532261 |
| NPI Enumeration Date: | 22 Sep, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kootenai Dental Group, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | ID03049 | 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: | Kootenai Dental Group, Llc
555 W. Canfield Avenue,
Coeur D'alene, Idaho |
| Zip: | 83815-7892 |
| Phone Number: | 208-762-8750 |
| Fax Number: | 208-762-2530 |
Patients can reach Kootenai Dental Group, Llc at
555 W. Canfield Avenue, Coeur D'alene, Idaho or can
call to book an appointment on 208-762-8750.
Comments/ Reviews:
Read all the reviews posted for Kootenai Dental Group, Llc below. You may also share your own experience with Kootenai Dental Group, Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.