Avondale Dental Center, LLC
NPI 1558887067ActiveOrganization· Dentist· Coeur D'Alene, ID
Dentist in Coeur D'Alene, Idaho, registered in NPPES in August 2017, part of Avondale Dental Center LLC DBA Element. The authorized official on file is James Robson, DDS, Authorized Official.
Overview
| NPI | 1558887067 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Avondale Dental Center LLC DBA Element |
| NPI issued | Aug 16, 2017 |
| Last updated in NPPES | Aug 16, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D-4015 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|