LAKEVIEW DENTAL (NPI# 1801241922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801241922 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW DENTAL |
| Practice Address |
801 W Milwaukee Dr Coeur D Alene ID 83814-2236 |
| Mailing Address |
801 W Milwaukee Dr Coeur D'alene ID 83814 |
| Practice Telephone | 2086640884 |
| Practice Fax Number | 2086643304 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | DR. SPENCER WIRIG (OWNER) |
| Authorized Official Telephone | 2086640884 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
D4020 | ID | Suppliers |
| Y | 122300000X | Dentist | D4020 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689071623 | Lakeview Dental | Dentist | 2291 S Fort Apache Rd, Suite 104, Las Vegas, NV 89117-5895 | 2014-11-19 |
| 1689076234 | Lakeview Dental | Clinic/Center | 2 Village Rd, Suite 9, Horsham, PA 19044-3813 | 2014-09-25 |
| 1467897009 | Lakeview Dental | Dentist | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2013-05-09 |
| 1538336474 | Lakeview Dental | Dentist | 709 N Lake Ave, Pasadena, CA 91104 | 2008-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | LAKEVIEW DENTAL ASSOCIATES, LLC | 1090 Meriden Waterbury Turnpike, Cheshire, CT 06410 |
| Oregon Corporations, Companies and Business Names | LAKEVIEW DENTAL CENTER, LLC | 2601 25th St Se Ste 430, Salem, OR 97302 |
| New York State Corporations | LAKEVIEW DENTAL LABS, INC. | 1192 Hempstead Turnpike, Franklin Square, Ny 11010 |
| Street Address |
801 W MILWAUKEE DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629143748 | James Lee Landers | Dentist | 801 W Milwaukee Dr, Coeur D Alene, ID 83814-2236 | 2006-11-22 |
| 1679096523 | Matteson Implant and Reconstructive Dentistry PC. | Dentist | 801 W Milwaukee Dr, Coeur D Alene, ID 83814-2236 | 2017-07-24 |
| 1356654172 | Spencer C Wirig, Dmd, Inc | Dentist | 801 W Milwaukee Dr, Coeur D Alene, ID 83814-2236 | 2010-07-21 |
| 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 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083269443 | Zachary Miller | Dentist | 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814-4404 | 2019-08-02 |
| 1639723778 | Lindsey N R Gross | Dentist | 1800 Lincoln Way Ste 100, Coeur D Alene, ID 83814-2570 | 2019-07-26 |
| 1972990695 | Nicole Major | Dentist | 2344 N Merrit Crk Loop, Coeur D Alene, ID 83814-4950 | 2015-04-21 |
| 1588077598 | Nathan Bourassa Dds Pa | Dentist | 509 W Hanley Ave Ste 102, Coeur D Alene, ID 83815-8994 | 2014-06-06 |
| 1780023275 | Brittney Ann Penberthy | Dentist | 509 W Hanley Ave Ste 202, Coeur D Alene, ID 83815-8994 | 2013-06-18 |
| 1164650198 | Richard John Montandon | Dentist | 1859 N Lakewood Dr Ste 101, Coeur D Alene, ID 83814-2661 | 2009-06-29 |
| 1083873939 | Cherilee C Bloom Dds Pllc | Dentist | 815 W Canfield Ave, Coeur D Alene, ID 83815-9765 | 2008-06-05 |
| 1013103985 | Ryan Rediger | Dentist | 943 W Ironwood Dr, Coeur D Alene, ID 83814-4904 | 2007-09-24 |
| 1619197118 | Riverstone Dental Care | Dentist | 2344 N Merrit Creek Loop, Coeur D Alene, ID 83814-4950 | 2007-04-26 |
| 1518095678 | Jack Alan Fullwiler | Dentist | 1223 N Government Way, Coeur D Alene, ID 83814 | 2007-03-01 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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| 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.