Whalio Doctors

NPI 1093121030

Jeffrey Patten, DDS

Practitioner General Practice Dentistry Coeur D Alene, ID

Practice location

Address
2615 N Fruitland Ln, Coeur D Alene, ID 83815-7914
Phone
(208) 765-3301

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D-4602 (ID)

Registry record

NPI
1093121030
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jul 2014
Record last updated
29 Apr 2020

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.