IDAHO PROSTHODONTICS NPI 1275736522

NPI Information

IDAHO PROSTHODONTICS is a prosthodontics dentist in Sandpoint, ID. The provider is 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. IDAHO PROSTHODONTICS NPI is 1275736522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

347 CROOKED EAR CT
SANDPOINT, ID
ZIP 83864-477
Phone: (208) 336-9333
Fax: (208) 387-1951

The provider's authorized official is Darrel L Mooney .
The authorized official title is Owner and has the following contact phone number (208) 336-9333.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.