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DELWYN LEE DICK, D.D.S.
NPI 1265532261
Dentist - General Practice in Coeur D'alene, ID

Active since September 22, 2006
555 W. CANFIELD AVENUE, COEUR D'ALENE, ID 83815(208) 762-8750(208) 762-2530 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Delwyn Lee Dick, D.d.s. NPPES

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

DELWYN LEE DICK, D.D.S. (NPI 1265532261) is a healthcare organization registered as a general practice in Coeur D'alene, Idaho and active in the NPI registry since September 2006. The organization lists Delwyn Lee Dick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265532261
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOOTENAI DENTAL GROUP, LLC
Location Address555 W. CANFIELD AVENUECoeur D'alene, ID 83815-7892
Mailing Address555 W. Canfield AvenueCoeur D'alene, ID 83815-7892 · (208) 762-8750 · Fax (208) 762-2530
Phone(208) 762-8750
Fax(208) 762-2530
Organization SubpartNo
Authorized OfficialDelwyn Lee DickCeo · (208) 762-8750
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265532261 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 · ID03049
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.
555 W. CANFIELD AVENUE, Coeur D'alene, ID 83815
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Other Names 1

Other NameDelwyn Lee Dick, D.d.s.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Dental Group, LLC's NPI number?

The NPI number for Kootenai Dental Group, LLC is 1265532261. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is also known as Delwyn Lee Dick, D.D.S..

Where is Kootenai Dental Group, LLC located?

Kootenai Dental Group, LLC is located at 555 W. Canfield Avenue, Coeur D'alene, ID 83815. The listed phone number is (208) 762-8750.

What is Kootenai Dental Group, LLC'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 Kootenai Dental Group, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.