BRENT UNRUH


Address: 1717 Lincoln Way, Suite 107, Coeur D Alene, ID 83814-2556
Phone: 2086640489

BRENT UNRUH (NPI# 1619195310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619195310
Entity Type Individual
Full Name BRENT UNRUH
Practice Address 1717 Lincoln Way
Suite 107
Coeur D Alene
ID 83814-2556
Practice Telephone 2086640489
Practice Fax Number 2087697339
Enumeration Date 2007-04-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
D-1764 ID Dental Providers

Other Providers BRENT UNRUH

NPI Name Taxonomy Address Enumeration
1306870878 Brent Unruh Specialist/Technologist 909 Sw Mulvane St, Topeka, KS 66606-1677 2006-07-10

Office Location

Street Address 1717 LINCOLN WAY
SUITE 107
City COEUR D ALENE
State ID
Zip Code 83814-2556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235219361 Thomas Richard Smart Dentist 1717 Lincoln Way, Suite 204, Coeur D Alene, ID 83814-2556 2006-10-16
1235588781 Thomas Lee Jaeger Dds Pa Dentist 1717 Lincoln Way, #203, Coeur D Alene, ID 83814-2556 2016-06-06
1083976146 Jennifer Keane Counselor 1717 Lincoln Way, Suite 101, Coeur D Alene, ID 83814-2556 2012-06-13
1598926867 Jaeger Curtis Orthodontics Dentist 1717 Lincoln Way, Suite 203, Coeur D Alene, ID 83814-2556 2008-06-19
1295906063 John M Ukich, Dds,pa Dentist 1717 Lincoln Way, Suite 205, Coeur D Alene, ID 83814-2556 2008-03-19
1902950041 John M Ukich Dentist 1717 Lincoln Way, Suite 205, Coeur D Alene, ID 83814-2556 2007-01-23
1972657922 John R Ukich Dentist 1717 Lincoln Way, Suite 205, Coeur D Alene, ID 83814-2556 2007-01-23
1881746048 Brent R. Unruh, Dmd, Pa Dentist 1717 Lincoln Way, Suite 107, Coeur D Alene, ID 83814-2556 2007-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162675 Dehra Mcfaddan Social Worker 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 2020-07-24
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1295353217 Cultivation, LLC Counselor 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 2020-07-07
1306487517 Northwest Integrated Health, LLP Clinic/Center 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 2019-09-30
1730740465 Connor Williams Physical Therapist 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 2019-06-24
1912480153 Nadine M Lewis Social Worker 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 2018-09-13
1992208631 Orthopedic Surgery and Sports Orthopaedic Surgery 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 2018-03-08
1346758042 Heather Marie Johnson Counselor 7905 Meadowlark Way, Cda, ID 83814 2018-01-16
1881113413 Brevity Treatment Services Counselor 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 2017-09-14
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881746048 Brent R. Unruh, Dmd, Pa Dentist 1717 Lincoln Way, Suite 107, Coeur D Alene, ID 83814-2556 2007-01-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972968998 Treasure Valley Periodontics Dentist 813 N Stilson Rd Ste C, Boise, ID 83703-5119 2015-12-17
1689077026 Florence and Lincks and Associates Dentist 140 E Boise Ave Ste A, Boise, ID 83706-4374 2014-09-30
1588827125 Richard E. Ferguson D.d.s.,m.s. Pa Dentist 813 Stilson Rd Ste C, Boise, ID 83703-5119 2008-07-03
1225255748 Jason M Peterson Dentist 1980 1st St, Idaho Falls, ID 83401-4342 2007-04-18
1245310036 Kenneth G. Sherman II Dentist 1228 N Cole Rd, Boise, ID 83704-8646 2006-10-16
1497835599 Joel Newton Dentist 2064 Washington Street North, Twin Falls, ID 83301 2006-10-16
1710096896 Bradley J. Morlock, D.d.s.,p.c. Dentist 3323 4th St, Lewiston, ID 83501-4423 2006-08-30
1700994852 Bradley Lynn Townsend Dentist 6019 N. Eagle Rd., Boise, ID 83713 2006-08-28
1235147281 Michael John Florence Dentist 140 East Boise Avenue, Boise, ID 83706 2006-08-04
1346224458 Jack H Lincks Dentist 140 E Boise Ave, Boise, ID 83706-4373 2005-12-01
Find all providers with the same taxonomy

Competitor

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City COEUR D ALENE
Zip Code 83814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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