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IMPLANTS NORTHWEST
NPI 1386020550
Dentist - Oral and Maxillofacial Surgery in Coeur D Alene, ID

Active since August 10, 2015
1859 N LAKEWOOD DR, STE 101, COEUR D ALENE, ID 83814(208) 667-5565(208) 765-9633 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Implants Northwest NPPES

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

IMPLANTS NORTHWEST (NPI 1386020550) is a healthcare organization registered as an oral and maxillofacial surgery in Coeur D Alene, Idaho and active in the NPI registry since August 2015. The organization lists Daniel Cullum, President, as its authorized official.

NPPES Registry Identity

NPI1386020550
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDR. DANIEL R CULLUM PA
Location Address1859 N LAKEWOOD DR, STE 101Coeur D Alene, ID 83814-2661
Mailing Address1859 N Lakewood Dr, Ste 101Coeur D Alene, ID 83814-2661 · (208) 667-5565 · Fax (208) 765-9633
Phone(208) 667-5565
Fax(208) 765-9633
Organization SubpartNo
Authorized OfficialDaniel CullumPresident · (208) 667-5565
Enumeration DateAugust 10, 2015
✔ NPI 1386020550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ID · D-3149-OS
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1859 N LAKEWOOD DR, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsImplants Northwest

Other Identifiers 1

OtherD-3149-OSID · State License

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 2

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

VANISHING VEINS OF IDAHO
Specialist
1859 N LAKEWOOD DR, SUITE 303
COEUR D ALENE, ID 83814
Kootenai County (208) 292-1411
DR. DANIEL RAY CULLUM DDS
Dentist (Oral and Maxillofacial Surgery)
1859 N LAKEWOOD DR, SUITE 101
COEUR D ALENE, ID 83814
Kootenai County (208) 667-5565

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 Dr. Daniel R Cullum PA's NPI number?

The NPI number for Dr. Daniel R Cullum PA is 1386020550. It was assigned to this organization in the NPPES registry on August 10, 2015. The provider is doing business as Implants Northwest.

Where is Dr. Daniel R Cullum PA located?

Dr. Daniel R Cullum PA is located at 1859 N Lakewood Dr Ste 101, Coeur D Alene, ID 83814. The listed phone number is (208) 667-5565.

What is Dr. Daniel R Cullum PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dr. Daniel R Cullum PA was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.