GATES DENTISTRY PLLC NPI 1710364427

NPI Information

  • NPI: 1710364427
  • Provider Name: GATES DENTISTRY, PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: NORTH IDAHO DENTAL GROUP
  • Address: 2165 N. MERRITT CREEK LOOP
    COEUR D ALENE, ID
    ZIP 83814
  • Phone: (208) 667-8282

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryD3355IDAHOYes

What is NPI?

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This page was last updated on: 11/21/2025

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