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POTLATCH FAMILY DENTAL, PC
NPI 1245515832
Dentist - General Practice in Potlatch, ID

Active since October 15, 2011
225 6TH STREET, POTLATCH, ID 83855(208) 875-0441(208) 875-0972 Get Directions Write a Review

NPPES record last updated: October 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Potlatch Family Dental, Pc NPPES

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

POTLATCH FAMILY DENTAL, PC (NPI 1245515832) is a healthcare organization registered as a general practice in Potlatch, Idaho and active in the NPI registry since October 2011. The organization lists Ammon Michael Pitt, Dentist, as its authorized official.

NPPES Registry Identity

NPI1245515832
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePOTLATCH FAMILY DENTAL, PC
Location Address225 6TH STREETPotlatch, ID 83855
Mailing AddressPo Box 601Potlatch, ID 83855-0601 · (208) 875-0441 · Fax (208) 875-0972
Phone(208) 875-0441
Fax(208) 875-0972
Organization SubpartNo
Authorized OfficialAmmon Michael PittDentist · (208) 875-0441
Enumeration DateOctober 15, 2011
✔ NPI 1245515832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D3984
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
225 6TH STREET, Potlatch, ID 83855
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Other Identifiers 1

Medicaid8075010ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DAN LAWSON DDS, PC
Dentist
225 6TH STREET
POTLATCH, ID 83855
Latah County (208) 875-0441

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 Potlatch Family Dental, PC's NPI number?

The NPI number for Potlatch Family Dental, PC is 1245515832. It was assigned to this organization in the NPPES registry on October 15, 2011.

Where is Potlatch Family Dental, PC located?

Potlatch Family Dental, PC is located at 225 6th Street, Potlatch, ID 83855. The listed phone number is (208) 875-0441.

What is Potlatch Family Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Potlatch Family Dental, PC was last updated on October 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.