PEDIATRIC DENTAL CENTER OF NORTH IDAHO
NPI 1720259484
Dentist - Pediatric Dentistry in Sandpoint, ID

Active since March 20, 2008
1310 PONDEROSA DR, SUITE B, SANDPOINT, ID 83864(208) 255-5410(208) 255-5420 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Center Of North Idaho NPPES

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

PEDIATRIC DENTAL CENTER OF NORTH IDAHO (NPI 1720259484) is a healthcare organization registered as a pediatric dentistry in Sandpoint, Idaho and active in the NPI registry since March 2008. The organization lists John M Ukich, President, as its authorized official.

NPPES Registry Identity

NPI1720259484
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJOHN M UKICH
Location Address1310 PONDEROSA DR, SUITE BSandpoint, ID 83864-5073
Mailing Address1310 Ponderosa Dr, Suite BSandpoint, ID 83864-5073 · (208) 255-5410 · Fax (208) 255-5420
Fax(208) 255-5420
Organization SubpartYesParent: John M Ukich, Dds, Pa
Authorized OfficialJohn M UkichPresident · (208) 667-3556
Enumeration DateMarch 20, 2008
NPI 1720259484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in ID · D1656
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1310 PONDEROSA DR, Sandpoint, ID 83864

Other Names 1

Doing Business AsPediatric Dental Center Of North Idaho

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)
1310 PONDEROSA DR
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 John M Ukich's NPI number?

The NPI number for John M Ukich is 1720259484. It was assigned to this organization in the NPPES registry on March 20, 2008. The provider is doing business as Pediatric Dental Center Of North Idaho.

Where is John M Ukich located?

John M Ukich is located at 1310 Ponderosa Dr Suite B, Sandpoint, ID 83864. The listed phone number is (208) 255-5410.

What is John M Ukich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for John M Ukich was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.