Silver Lake Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SILVER LAKE DENTAL PLLC

Doing business as

James S Hough DDS

Practice address

6176 N Government Way
Cour D Alene, ID 83815

Phone

(208) 762-3027

Fax

(208) 762-0531

NPI assigned

Sep 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cinda A Fueller

Title

Office MGR

Phone

(208) 762-3027

Specialties & licenses 1

Addresses

Other names 1

• James S Hough DDS Doing business as

Tax ID family

James S Hough DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Silver Lake Dental PLLC

  • General Practice Dentistry
  • Dalton Gardens, ID
  • NPI 1851551345
  NPD tax ID

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982709390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6176 N GOVERNMENT WAY",
            "city": "COUR D ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-762-3027",
            "fax_number": "208-762-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6176 N GOVERNMENT WAY",
            "city": "COUR D ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-762-3027",
            "fax_number": "208-762-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUELLER",
        "authorized_official_first_name": "CINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "208-762-3027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James S Hough DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.