| Gentle Family Dentistry, P.c. | |
|
1265 Ahsahka Rd Orofino ID 83544-9025 | |
| (208) 476-4315 | |
| (208) 476-4353 |
| Full Name | Gentle Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1265 Ahsahka Rd, Orofino, Idaho |
| Authorized Official Name and Position | Lynn C. Wentz (PRESIDENT) |
| Authorized Official Contact | 2084764315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Family Dentistry, P.c. Po Box 748 Orofino ID 83544-0748 Ph: (208) 476-4315 | Gentle Family Dentistry, P.c. 1265 Ahsahka Rd Orofino ID 83544-9025 Ph: (208) 476-4315 |
| NPI Number | 1538233457 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538233457 | NPI | - | NPPES |
| 723020 | Other | ID | UNITED CONCORDIA |
| I 93452 | Other | ID | REGENCE BLUE SHIELD |
| 10029033 | Other | ID | REGENCE BLUE SHIELD |
| 62073 | Other | ID | WASHINGTON DENTAL SERVICE |
| I90841 | Other | ID | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D2073 (Idaho) | Primary |
| 1223G0001X | Dentist - General Practice | D3474 (Idaho) | Secondary |
Two Rivers Family & Cosmetic Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Michigan Ave, Orofino, ID 83544 Phone: 208-476-4917 |