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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COEUR D'ALENE DENTURE CLINIC LLC
NPI 1972419240
Denturist in Coeur D Alene, ID

Active since August 19, 2026
1119 N 4TH ST, COEUR D ALENE, ID 83814(208) 667-8997 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Coeur D'alene Denture Clinic Llc NPPES

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

COEUR D'ALENE DENTURE CLINIC LLC (NPI 1972419240) is a healthcare organization registered as a denturist in Coeur D Alene, Idaho and active in the NPI registry since August 2026. The organization lists Sausha Mannon, Clinical Owner, as its authorized official.

NPPES Registry Identity

NPI1972419240
Entity TypeOrganization
Primary Taxonomy122400000X
Legal Business NameCOEUR D'ALENE DENTURE CLINIC LLC
Location Address1119 N 4TH STCoeur D Alene, ID 83814-3216
Mailing Address1119 N 4th StCoeur D Alene, ID 83814-3216 · (208) 667-8997
Phone(208) 667-8997
Organization SubpartNo
Authorized OfficialSausha MannonClinical Owner · (208) 930-9464
Enumeration DateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1972419240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
1119 N 4TH ST, Coeur D Alene, ID 83814
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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 6

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

MS. JACQUELINE KAY NEFF DENTURIST
Denturist
1119 N 4TH ST
COEUR D ALENE, ID 83814
Kootenai County (208) 667-8997
SYMPHONY DSO
Denturist
1119 N 4TH ST
COEUR D ALENE, ID 83814
Kootenai County (208) 667-8997
LOWELL DOUGLAS SMITH
Denturist
1119 N 4TH ST
COEUR D ALENE, ID 83814
Kootenai County (208) 667-8997
COEUR D ALENE DENTURE CLINIC
Denturist
1119 N 4TH ST
COEUR D ALENE, ID 83814
Kootenai County (208) 667-8997
SAUSHA MANNON DENTURIST
Denturist
1119 N 4TH ST
COEUR D ALENE, ID 83814
Kootenai County (208) 667-8997
MISS KIMBERLEE K KEMPT DENTURIST
Denturist
1119 N 4TH ST
COEUR D ALENE, ID 83814
Kootenai County (208) 667-8997

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 Coeur D'alene Denture Clinic LLC's NPI number?

The NPI number for Coeur D'alene Denture Clinic LLC is 1972419240. It was assigned to this organization in the NPPES registry on August 19, 2026.

Where is Coeur D'alene Denture Clinic LLC located?

Coeur D'alene Denture Clinic LLC is located at 1119 N 4th St, Coeur D Alene, ID 83814. The listed phone number is (208) 667-8997.

What is Coeur D'alene Denture Clinic LLC's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Coeur D'alene Denture Clinic LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.