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LAKE CITY DENTAL SPECIALTIES, PC
NPI 1356693915
Dentist - Periodontics in Coeur D Alene, ID

Active since October 07, 2012
1322 W KATHLEEN AVE STE 2, COEUR D ALENE, ID 83815(208) 664-7300(208) 664-7333 Get Directions Write a Review

NPPES record last updated: October 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake City Dental Specialties, Pc NPPES

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

LAKE CITY DENTAL SPECIALTIES, PC (NPI 1356693915) is a healthcare organization registered as a periodontics in Coeur D Alene, Idaho and active in the NPI registry since October 2012. The organization lists Shaun Michael Whitney, President, as its authorized official.

NPPES Registry Identity

NPI1356693915
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameLAKE CITY DENTAL SPECIALTIES, PC
Location Address1322 W KATHLEEN AVE STE 2Coeur D Alene, ID 83815-7365
Mailing Address1322 W Kathleen Ave Ste 2Coeur D Alene, ID 83815-7365 · (208) 664-7300 · Fax (208) 664-7333
Phone(208) 664-7300
Fax(208) 664-7333
Organization SubpartNo
Authorized OfficialShaun Michael WhitneyPresident · (208) 664-7300
Enumeration DateOctober 7, 2012
✔ NPI 1356693915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in ID · D4420PE
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License D4420EN (ID)
1322 W KATHLEEN AVE STE 2, Coeur D Alene, ID 83815
Open in Google Maps ↗

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 MULTIPLE 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.

DR. SHAUN MICHAEL WHITNEY D.D.S.
Dentist (Periodontics)
1322 W KATHLEEN AVE STE 2
COEUR D ALENE, ID 83815
Kootenai County (208) 664-7300

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 Lake City Dental Specialties, PC's NPI number?

The NPI number for Lake City Dental Specialties, PC is 1356693915. It was assigned to this organization in the NPPES registry on October 7, 2012.

Where is Lake City Dental Specialties, PC located?

Lake City Dental Specialties, PC is located at 1322 W Kathleen Ave Ste 2, Coeur D Alene, ID 83815. The listed phone number is (208) 664-7300.

What is Lake City Dental Specialties, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Lake City Dental Specialties, PC was last updated on October 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.