Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AVONDALE DENTAL PLLC
NPI 1265340103
Clinic/Center - Dental in Hayden Lake, ID

Q: What is Avondale Dental PLLC's NPI number?

The NPI number for Avondale Dental PLLC is 1265340103. It was assigned to this organization in the NPPES registry on August 31, 2026.

Q: What is Avondale Dental PLLC's specialty?

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

Active since August 31, 2026

1683 E MILES AVE, HAYDEN LAKE, ID 83835(208) 772-4066 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Avondale Dental Pllc NPPES

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

AVONDALE DENTAL PLLC (NPI 1265340103) is a healthcare organization registered as a dental in Hayden Lake, Idaho and active in the NPI registry since August 2026. The organization lists Kory Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265340103

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameAVONDALE DENTAL PLLC

Location Address1683 E MILES AVEHayden Lake, ID 83835-9109

Mailing Address1015 W Ironwood DrCoeur D Alene, ID 83814-2602 · (208) 500-5854

Phone(208) 772-4066

Organization SubpartNo

Authorized OfficialKory WilsonCeo · (208) 661-7879

Enumeration DateAugust 31, 2026

NPPES CertifiedAugust 31, 2026

✔ NPI 1265340103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1683 E MILES AVE, Hayden Lake, ID 83835

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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 Avondale Dental PLLC's NPI number?

The NPI number for Avondale Dental PLLC is 1265340103. It was assigned to this organization in the NPPES registry on August 31, 2026.

Where is Avondale Dental PLLC located?

Avondale Dental PLLC is located at 1683 E Miles Ave, Hayden Lake, ID 83835. The listed phone number is (208) 772-4066.

What is Avondale 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 Avondale Dental PLLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.