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IDAHO PROSTHODONTICS
NPI 1275736522
Dentist - Prosthodontics in Sandpoint, ID

Active since June 06, 2007
347 CROOKED EAR CT, SANDPOINT, ID 83864(208) 336-9333(208) 387-1951 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Prosthodontics NPPES

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

IDAHO PROSTHODONTICS (NPI 1275736522) is a healthcare organization registered as a prosthodontics in Sandpoint, Idaho and active in the NPI registry since June 2007. The organization lists Darrel L Mooney, Owner, as its authorized official.

NPPES Registry Identity

NPI1275736522
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameIDAHO PROSTHODONTICS
Location Address347 CROOKED EAR CTSandpoint, ID 83864-9477
Mailing Address301 S Division AveSandpoint, ID 83864-2737 · (208) 263-6393 · Fax (208) 263-6786
Phone(208) 336-9333
Fax(208) 387-1951
Organization SubpartNo
Authorized OfficialDarrel L MooneyOwner · (208) 336-9333
Enumeration DateJune 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275736522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in ID · D1650
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

347 CROOKED EAR CT, Sandpoint, ID 83864
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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

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 Idaho Prosthodontics's NPI number?

The NPI number for Idaho Prosthodontics is 1275736522. It was assigned to this organization in the NPPES registry on June 6, 2007.

Where is Idaho Prosthodontics located?

Idaho Prosthodontics is located at 347 Crooked Ear Ct, Sandpoint, ID 83864. The listed phone number is (208) 336-9333.

What is Idaho Prosthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Idaho Prosthodontics was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.