Lake City Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAKE CITY DENTAL

Practice address

6176 Government Way
Coeur D'Alene, ID 83815

Phone

(208) 664-6476

NPI assigned

Jan 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Bills, DDS

Title

Manager

Phone

(208) 664-6476

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275871329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6176 GOVERNMENT WAY",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-664-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6176 GOVERNMENT WAY",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-664-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-664-6476",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacrosse Health- Coeur D'Alene, LLC (LaCrosse Health & Rehabilitation Center)
• Eric Martin Ladwig, NP-C
• Jennifer Lageschulte, LMSW-33329
• Lake Bound Physical Therapy PLLC
• Lake City Center, Inc.
• Lake City Dental Specialties, PC
• Lake City Medical Investors, LLC (Life Care Center of Coeur D'Alene)
• Lake City Physical Therapy P a
• Lake City Shoe Repair
• Lake City Surgeons PLLC

• General Practice Dentistry in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.