ARTISAN DENTAL
NPI 1588077598
Dentist in Coeur D Alene, ID

Q: What is Nathan Bourassa Dds PA's NPI number?

The NPI number for Nathan Bourassa Dds PA is 1588077598. It was assigned to this organization in the NPPES registry on June 6, 2014. The provider is doing business as Artisan Dental.

Q: What is Nathan Bourassa Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 06, 2014

509 W HANLEY AVE STE 102, COEUR D ALENE, ID 83815(208) 664-9506(208) 665-1598 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Artisan Dental NPPES

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

ARTISAN DENTAL (NPI 1588077598) is a healthcare organization registered as a dentist in Coeur D Alene, Idaho and active in the NPI registry since June 2014. The organization lists Nathan Gary Bourassa, President, as its authorized official.

NPPES Registry Identity

NPI1588077598

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameNATHAN BOURASSA DDS PA

Location Address509 W HANLEY AVE STE 102Coeur D Alene, ID 83815-8994

Mailing Address509 W Hanley Ave Ste 102Coeur D Alene, ID 83815-8994 · (208) 664-9506 · Fax (208) 665-1598

Phone(208) 664-9506

Fax(208) 665-1598

Organization SubpartNo

Authorized OfficialNathan Gary BourassaPresident · (208) 664-9506

Enumeration DateJune 6, 2014

✔ NPI 1588077598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ID · D4076

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

509 W HANLEY AVE STE 102, Coeur D Alene, ID 83815

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Other Names 1

Doing Business AsArtisan Dental

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 Nathan Bourassa Dds PA's NPI number?

The NPI number for Nathan Bourassa Dds PA is 1588077598. It was assigned to this organization in the NPPES registry on June 6, 2014. The provider is doing business as Artisan Dental.

Where is Nathan Bourassa Dds PA located?

Nathan Bourassa Dds PA is located at 509 W Hanley Ave Ste 102, Coeur D Alene, ID 83815. The listed phone number is (208) 664-9506.

What is Nathan Bourassa Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Nathan Bourassa Dds PA was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.