is a Pediatric Dental Clinic in Sandpoint, Idaho. This organization is also known as sub part of John M Ukich, Dds, Pa. It is located at 1310 Ponderosa Dr, Suite B, Sandpoint, ID and its contact number is 208-255-5410. The authorized person for is John M Ukich
who is President of the clinic and their contact number is 208-667-3556. The primary license number for is D1656 (Pediatric Dentistry) in Idaho. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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:
Pediatric Dentistry
Clinic Address:
1310 Ponderosa Dr, Suite B, Sandpoint, Idaho, 83864-5073
Phone:
208-255-5410
Fax:
208-255-5420
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:
John M Ukich
Position:
President
Contact Number:
208-667-3556
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:
1720259484
Parent Organization:
John M Ukich, Dds, Pa
NPI Enumeration Date:
20 Mar, 2008
NPI Last Update On:
20 Mar, 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
Pediatric Dentistry
D1656
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:
1310 Ponderosa Dr, Suite B Sandpoint, Idaho
Zip:
83864-5073
Phone Number:
208-255-5410
Fax Number:
208-255-5420
Patients can reach at 1310 Ponderosa Dr, Suite B, Sandpoint, Idaho or can call to book an appointment on 208-255-5410. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.