Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KOOTENAI FAMILY DENTAL PLLC
NPI 1063330892
Clinic/Center - Dental in Coeur D Alene, ID

Active since July 08, 2026
1420 LINCOLN WAY STE 200, COEUR D ALENE, ID 83814(208) 664-8283(208) 667-0794 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kootenai Family Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOOTENAI FAMILY DENTAL PLLC (NPI 1063330892) is a healthcare organization registered as a dental in Coeur D Alene, Idaho and active in the NPI registry since July 2026. The organization lists Alexis Larose, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1063330892
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKOOTENAI FAMILY DENTAL PLLC
Location Address1420 LINCOLN WAY STE 200Coeur D Alene, ID 83814-2360
Mailing Address1420 Lincoln Way Ste 200Coeur D Alene, ID 83814-2360 · (208) 664-8283 · Fax (208) 667-0794
Fax(208) 667-0794
Organization SubpartNo
Authorized OfficialAlexis LaroseOwner/dentist · (208) 664-8283
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
NPI 1063330892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1420 LINCOLN WAY STE 200, Coeur D Alene, ID 83814

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1420 LINCOLN WAY STE 200
COEUR D ALENE, ID 83814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kootenai Family Dental PLLC's NPI number?

The NPI number for Kootenai Family Dental PLLC is 1063330892. It was assigned to this organization in the NPPES registry on July 8, 2026.

Where is Kootenai Family Dental PLLC located?

Kootenai Family Dental PLLC is located at 1420 Lincoln Way Ste 200, Coeur D Alene, ID 83814. The listed phone number is (208) 664-8283.

What is Kootenai Family Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kootenai Family Dental PLLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.