Gates Dentistry, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D3355 Issued in ID

Legal business name

GATES DENTISTRY, PLLC

Practice address

2165 N. Merritt Creek Loop
Coeur D Alene, ID 83814

Phone

(208) 667-8282

Fax

(208) 667-9557

NPI assigned

May 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin L Gates, D.D.S.

Title

Dentist/Owner

Phone

(208) 691-7408

Specialties & licenses 1

Addresses

Other names 1

• North Idaho Dental Group Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Lee Landers, DDS

  • General Practice Dentistry
  • Coeur D Alene, ID
  • NPI 1629143748
  NPD (past)
• Miranda Lynn Weber, DDS

  • Dentist
  • Post Falls, ID
  • NPI 1831884436
  NPD (past)

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1710364427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 N. MERRITT CREEK LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-667-8282",
            "fax_number": "208-667-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 N. MERRITT CREEK LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-667-8282",
            "fax_number": "208-667-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "208-691-7408",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Idaho Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannie Garrett
• Kelly Garrett, LMSW
• Thomas Daniel Garrett, RPH
• Ryan William Garton, DPT
• Megan Garza
• John Howard Gates, R.PH.
• Steven Thomas Gatten, D.D.S.
• Timothy Joseph Gay, MD
• Frances Geckle
• Geffrey W. Thompson

• Oral and Maxillofacial Surgery (Dentist) in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Oral and Maxillofacial Surgery (Dentist) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.