TY C. CORBRIDGE, DMD, PC
NPI 1851627103
Clinic/Center - Dental in Sandpoint, ID

Active since October 21, 2009
1607 HIGHWAY 2, SANDPOINT, ID 83864(208) 265-1705(855) 939-2028 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ty C. Corbridge, Dmd, Pc NPPES

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

TY C. CORBRIDGE, DMD, PC (NPI 1851627103), doing business as Mountain Lake Dental, is a healthcare organization registered as a dental in Sandpoint, Idaho and active in the NPI registry since October 2009. The organization lists Sherry M Corbridge, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1851627103
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTY C. CORBRIDGE, DMD, PC
Location Address1607 HIGHWAY 2Sandpoint, ID 83864-1779
Mailing Address1607 Highway 2Sandpoint, ID 83864-1779 · (208) 265-1705 · Fax (855) 939-2028
Fax(855) 939-2028
Organization SubpartNo
Authorized OfficialSherry M CorbridgeCorporate Secretary · (208) 265-1705
Enumeration DateOctober 21, 2009
Last NPPES UpdateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
NPI 1851627103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1607 HIGHWAY 2, Sandpoint, ID 83864

Other Names 1

Doing Business AsMountain Lake Dental

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 Ty C. Corbridge, Dmd, PC's NPI number?

The NPI number for Ty C. Corbridge, Dmd, PC is 1851627103. It was assigned to this organization in the NPPES registry on October 21, 2009. The provider is doing business as Mountain Lake Dental.

Where is Ty C. Corbridge, Dmd, PC located?

Ty C. Corbridge, Dmd, PC is located at 1607 Highway 2, Sandpoint, ID 83864. The listed phone number is (208) 265-1705.

What is Ty C. Corbridge, Dmd, PC'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 Ty C. Corbridge, Dmd, PC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.