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LAROSE DENTAL PA NPI 1578815130


NPI Information

NPI: 1578815130
Provider Name: LAROSE DENTAL PA

Doing Business As: KOOTENAI FAMILY DENTAL

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1420 LINCOLN WAY
SUITE 200
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 664-8283
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LAROSE DENTAL PA is a dentist in Coeur D Alene, ID. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. LAROSE DENTAL PA NPI is 1578815130. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kootenai Family Dental.

The provider's business location address is:

1420 LINCOLN WAY
SUITE 200
COEUR D ALENE, ID
ZIP 83814-390
Phone: (208) 664-8283

The provider's authorized official is Alexis Larose .
The authorized official title is President/dentist and has the following contact phone number (208) 664-8283.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 10/8/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistD4454IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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