NPI 1063330892

Kootenai Family Dental PLLC

Organisation Dental Clinic/Center Coeur D Alene, ID

Practice location

Address: 1420 Lincoln Way STE 200, Coeur D Alene, ID 83814-2360
Phone: (208) 664-8283
Fax: (208) 667-0794

Authorised official

Name: Alexis Larose
Title: Owner/Dentist
Phone: (208) 664-8283

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1063330892
Entity type: Organization
NPI issued: 8 Jul 2026
Record last updated: 8 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.