NPI 1962324855

Sausha Mannon, DENTURIST

Practitioner Denturist Coeur D Alene, ID

Practice location

Address: 1119 N 4th St, Coeur D Alene, ID 83814-3216
Phone: (208) 667-8997

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 7381926 (ID)

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Registry record

NPI: 1962324855
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2026
Record last updated: 29 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.