| Lakeland Family Dental Llc | |
|
14596 N Highway 41 Rathdrum ID 83858-8682 | |
| (208) 687-4455 | |
| (208) 687-4456 |
| Full Name | Lakeland Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14596 N Highway 41, Rathdrum, Idaho |
| Authorized Official Name and Position | Kyra Luck (OFFICE MANAGER) |
| Authorized Official Contact | 2086874455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Family Dental Llc Po Box 1030 Rathdrum ID 83858-1030 Ph: (208) 687-4455 | Lakeland Family Dental Llc 14596 N Highway 41 Rathdrum ID 83858-8682 Ph: (208) 687-4455 |
| NPI Number | 1790659746 |
|---|---|
| Provider Enumeration Date | 10/02/2025 |
| Last Update Date | 10/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790659746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mcnamara Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13997 W Highway 53, Rathdrum, ID 83858 Phone: 208-687-0688 Fax: 208-687-0447 | |
Lakeland Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14596 Id-41, Rathdrum, ID 83858 Phone: 208-687-4455 |