Lake City Dental Specialties, PC
NPI 1356693915ActiveOrganization· Dentist, Periodontics· Coeur D Alene, ID
Dentist, Periodontics in Coeur D Alene, Idaho, registered in NPPES in October 2012. The authorized official on file is Shaun Michael Whitney, DDS, President.
Overview
| NPI | 1356693915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2012 |
| Last updated in NPPES | Oct 7, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | D4420PE | ID |
| Dentist, Endodontics | 1223E0200X | D4420EN | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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