1. Home
  2. Directory
  3. NPI Profile

KOOTENAI FAMILY DENTAL, PA
NPI 1942317664
Dentist in Coeur Dalene, ID

Active since August 25, 2006
1420 LINCOLN WAY, SUITE 200, COEUR DALENE, ID 83814(208) 664-8283(208) 667-0794 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kootenai Family Dental, Pa NPPES

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

KOOTENAI FAMILY DENTAL, PA (NPI 1942317664) is a healthcare organization registered as a dentist in Coeur Dalene, Idaho and active in the NPI registry since August 2006. The organization lists Robert L Wilder, Dentist, as its authorized official.

NPPES Registry Identity

NPI1942317664
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKOOTENAI FAMILY DENTAL, PA
Location Address1420 LINCOLN WAY, SUITE 200Coeur Dalene, ID 83814
Mailing Address1420 Lincoln Way, Suite 200Coeur Dalene, ID 83814 · (208) 664-8283 · Fax (208) 667-0794
Phone(208) 664-8283
Fax(208) 667-0794
Organization SubpartNo
Authorized OfficialRobert L WilderDentist · (208) 664-8283
Enumeration DateAugust 25, 2006
Last NPPES UpdateOctober 6, 2008
✔ NPI 1942317664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · 3794
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1420 LINCOLN WAY, Coeur Dalene, ID 83814
Open in Google Maps ↗

Other Names 1

Other NameKootenai Family Dental, Pa

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 3

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

DR. ALEXIS CHRISTINE LAROSE DDS
Dentist (General Practice)
1420 LINCOLN WAY, #200
COEUR D'ALENE, ID 83814
Kootenai County (208) 664-8283
POIGNANT POSSIBILITIES, LLC
Marriage & Family Therapist
1420 LINCOLN WAY, SUITE 500
COEUR D ALENE, ID 83814
Kootenai County (208) 667-8474
LAROSE DENTAL PA
Dentist
1420 LINCOLN WAY, SUITE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 664-8283

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 Kootenai Family Dental, PA's NPI number?

The NPI number for Kootenai Family Dental, PA is 1942317664. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Kootenai Family Dental, PA located?

Kootenai Family Dental, PA is located at 1420 Lincoln Way Suite 200, Coeur Dalene, ID 83814. The listed phone number is (208) 664-8283.

What is Kootenai Family Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kootenai Family Dental, PA was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.