IDAHO FAMILY DENTAL CENTER, PLLC
NPI 1811625700
Clinic/Center - Dental in Coeur D Alene, ID

Active since August 10, 2022
509 W HANLEY AVE STE 201, COEUR D ALENE, ID 83815(208) 667-5447 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Family Dental Center, Pllc NPPES

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

IDAHO FAMILY DENTAL CENTER, PLLC (NPI 1811625700), doing business as Davidson Family Dental, is a healthcare organization registered as a dental in Coeur D Alene, Idaho and active in the NPI registry since August 2022. The organization lists Matthew David Nordlie, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1811625700
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameIDAHO FAMILY DENTAL CENTER, PLLC
Location Address509 W HANLEY AVE STE 201Coeur D Alene, ID 83815-8994
Mailing Address509 W Hanley Ave Ste 201Coeur D Alene, ID 83815-8994 · (208) 667-5447
Organization SubpartNo
Authorized OfficialMatthew David NordlieOwner/dentist · (253) 249-3581
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 4, 2022
NPI 1811625700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
509 W HANLEY AVE STE 201, Coeur D Alene, ID 83815

Other Names 1

Doing Business AsDavidson Family Dental

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)
509 W HANLEY AVE STE 201
COEUR D ALENE, ID 83815

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 Idaho Family Dental Center, PLLC's NPI number?

The NPI number for Idaho Family Dental Center, PLLC is 1811625700. It was assigned to this organization in the NPPES registry on August 10, 2022. The provider is doing business as Davidson Family Dental.

Where is Idaho Family Dental Center, PLLC located?

Idaho Family Dental Center, PLLC is located at 509 W Hanley Ave Ste 201, Coeur D Alene, ID 83815. The listed phone number is (208) 667-5447.

What is Idaho Family Dental Center, 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 Idaho Family Dental Center, PLLC was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.