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CDA KIDS DENTISTRY PLLC
NPI 1689346736
Clinic/Center - Dental in Coeur D Alene, ID

Active since September 28, 2021
1341 N NORTHWOOD CENTER CT STE B, COEUR D ALENE, ID 83814(208) 500-2204(208) 619-4619 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cda Kids Dentistry Pllc NPPES

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

CDA KIDS DENTISTRY PLLC (NPI 1689346736) is a healthcare organization registered as a dental in Coeur D Alene, Idaho and active in the NPI registry since September 2021. The organization lists Devin Morin, Managing Member/sole Member, as its authorized official.

NPPES Registry Identity

NPI1689346736
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCDA KIDS DENTISTRY PLLC
Location Address1341 N NORTHWOOD CENTER CT STE BCoeur D Alene, ID 83814-2471
Mailing Address1110 E Silver Pine RdColbert, WA 99005-5125
Phone(208) 500-2204
Fax(208) 619-4619
Organization SubpartNo
Authorized OfficialDevin MorinManaging Member/sole Member · (502) 712-9561
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1689346736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1341 N NORTHWOOD CENTER CT STE B, Coeur D Alene, ID 83814
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Other Identifiers 2

Medicaid2138247WA
Medicaid44756ID

Other Providers at the Same Location NPPES

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

STEM CELL CENTERS OF IDAHO PC
Physical Medicine & Rehabilitation
1341 N NORTHWOOD CENTER CT STE B
COEUR D ALENE, ID 83814
Kootenai County (208) 771-7054

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 Cda Kids Dentistry PLLC's NPI number?

The NPI number for Cda Kids Dentistry PLLC is 1689346736. It was assigned to this organization in the NPPES registry on September 28, 2021.

Where is Cda Kids Dentistry PLLC located?

Cda Kids Dentistry PLLC is located at 1341 N Northwood Center Ct Ste B, Coeur D Alene, ID 83814. The listed phone number is (208) 500-2204.

What is Cda Kids Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cda Kids Dentistry PLLC was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.