NPI 1114252517

Cody Kent Haas, DDS

Practitioner Dentist Lewiston, ID

Practice location

Address: 1639 23rd Ave, Lewiston, ID 83501-6308
Phone: (208) 746-0431

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D-4156 (ID)

Other Dentist providers in Idaho →

Prosthodontics

Dental Providers Taxonomy 1223P0700X Licence DE 60023524 (WA)

Registry record

NPI: 1114252517
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2009
Record last updated: 2 Oct 2009

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.