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BRENT R. UNRUH DMD PA NPI 1881746048


NPI Information

NPI: 1881746048
Provider Name: BRENT R. UNRUH, DMD, PA
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1717 LINCOLN WAY
SUITE 107
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 664-0489
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BRENT R. UNRUH, DMD, PA is a periodontics dentist in Coeur D Alene, ID. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. BRENT R. UNRUH, DMD, PA NPI is 1881746048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1717 LINCOLN WAY
SUITE 107
COEUR D ALENE, ID
ZIP 83814-556
Phone: (208) 664-0489
Fax: (208) 769-7339

The provider's authorized official is Brent Unruh .
The authorized official title is President and has the following contact phone number (208) 664-0489.

The enumeration date for this NPI number is 1/17/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsD-1764IDAHOYes

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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