IDAHO PROSTHODONTICS
NPI 1710147087
Dentist - Prosthodontics in Sandpoint, ID

Active since June 11, 2008
1323 MICHIGAN ST, SANDPOINT, ID 83864(208) 263-6393 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Prosthodontics NPPES

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

IDAHO PROSTHODONTICS (NPI 1710147087) is a healthcare organization registered as a prosthodontics in Sandpoint, Idaho and active in the NPI registry since June 2008. The organization lists Darrel Laverne Mooney, Ownwe, as its authorized official.

NPPES Registry Identity

NPI1710147087
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameDARREL AND ROSEANN MOONEY
Location Address1323 MICHIGAN STSandpoint, ID 83864-1747
Mailing Address347 Crooked Ear CtSandpoint, ID 83864-9477 · (208) 841-5038
Organization SubpartNo
Authorized OfficialDarrel Laverne MooneyOwnwe · (208) 841-5038
Enumeration DateJune 11, 2008
NPI 1710147087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in ID · D1650PR
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

1323 MICHIGAN ST, Sandpoint, ID 83864

Other Names 1

Doing Business AsIdaho Prosthodontics

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

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

Dentist (General Practice)
1323 MICHIGAN ST
SANDPOINT, ID 83864

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 Darrel And Roseann Mooney's NPI number?

The NPI number for Darrel And Roseann Mooney is 1710147087. It was assigned to this organization in the NPPES registry on June 11, 2008. The provider is doing business as Idaho Prosthodontics.

Where is Darrel And Roseann Mooney located?

Darrel And Roseann Mooney is located at 1323 Michigan St, Sandpoint, ID 83864. The listed phone number is (208) 263-6393.

What is Darrel And Roseann Mooney's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Darrel And Roseann Mooney was last updated on June 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.