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GATES DENTISTRY PLLC NPI 1710364427


NPI Information

NPI: 1710364427
Provider Name: GATES DENTISTRY, PLLC

Doing Business As: NORTH IDAHO DENTAL GROUP

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2165 N. MERRITT CREEK LOOP
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-8282
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GATES DENTISTRY, PLLC is an oral and maxillofacial surgery dentist in Coeur D Alene, ID. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GATES DENTISTRY, PLLC NPI is 1710364427. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Idaho Dental Group.

The provider's business location address is:

2165 N. MERRITT CREEK LOOP
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-8282
Fax: (208) 667-9557

The provider's authorized official is Benjamin L Gates .
The authorized official title is Dentist/owner and has the following contact phone number (208) 691-7408.

The enumeration date for this NPI number is 5/1/2015 and was last updated on 8/17/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryD3355IDAHOYes

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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