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PEDIATRIC DENTAL CENTER OF NORTH IDAHO
NPI 1295906063
Dentist - Pediatric Dentistry in Coeur D Alene, ID

Active since March 19, 2008
1717 LINCOLN WAY, SUITE 205, COEUR D ALENE, ID 83814(208) 667-3556(208) 066-4681 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Dental Center Of North Idaho NPPES

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

PEDIATRIC DENTAL CENTER OF NORTH IDAHO (NPI 1295906063) is a healthcare organization registered as a pediatric dentistry in Coeur D Alene, Idaho and active in the NPI registry since March 2008. The organization lists John M Ukich, President, as its authorized official.

NPPES Registry Identity

NPI1295906063
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJOHN M UKICH, DDS,PA
Location Address1717 LINCOLN WAY, SUITE 205Coeur D Alene, ID 83814-2556
Mailing Address1717 Lincoln Way, Suite 205Coeur D Alene, ID 83814-2556 · (208) 667-3556 · Fax (208) 066-4681
Phone(208) 667-3556
Fax(208) 066-4681
Organization SubpartNo
Authorized OfficialJohn M UkichPresident · (208) 667-3556
Enumeration DateMarch 19, 2008
✔ NPI 1295906063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in ID · D1656
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1717 LINCOLN WAY, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsPediatric Dental Center Of North Idaho

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 8

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

JENNIFER KEANE LPC
Counselor (Professional)
1717 LINCOLN WAY, SUITE 101
COEUR D ALENE, ID 83814
Kootenai County (208) 699-5536
DR. THOMAS RICHARD SMART DDS
Dentist (General Practice)
1717 LINCOLN WAY, SUITE 204
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0012
THOMAS LEE JAEGER DDS PA
Dentist
1717 LINCOLN WAY, #203
COEUR D ALENE, ID 83814
Kootenai County (208) 667-3341
JAEGER CURTIS ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1717 LINCOLN WAY, SUITE 203
COEUR D ALENE, ID 83814
Kootenai County (208) 667-3341
BRENT UNRUH
Dentist (Periodontics)
1717 LINCOLN WAY, SUITE 107
COEUR D ALENE, ID 83814
Kootenai County (208) 664-0489
BRENT R. UNRUH, DMD, PA
Dentist (Periodontics)
1717 LINCOLN WAY, SUITE 107
COEUR D ALENE, ID 83814
Kootenai County (208) 664-0489
JOHN M UKICH D.D.S.
Dentist (Pediatric Dentistry)
1717 LINCOLN WAY, SUITE 205
COEUR D ALENE, ID 83814
Kootenai County (208) 667-3556
JOHN R UKICH D.D.S.
Dentist (Pediatric Dentistry)
1717 LINCOLN WAY, SUITE 205
COEUR D ALENE, ID 83814
Kootenai County (208) 667-3556

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 John M Ukich, Dds,pa's NPI number?

The NPI number for John M Ukich, Dds,pa is 1295906063. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Pediatric Dental Center Of North Idaho.

Where is John M Ukich, Dds,pa located?

John M Ukich, Dds,pa is located at 1717 Lincoln Way Suite 205, Coeur D Alene, ID 83814. The listed phone number is (208) 667-3556.

What is John M Ukich, Dds,pa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for John M Ukich, Dds,pa was last updated on March 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.