Id Specialty Dental Services, PLLC
NPI 1952086845ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Coeur D Alene, ID
Dentist, Orthodontics and Dentofacial Orthopedics in Coeur D Alene, Idaho, registered in NPPES in June 2023, part of Id Specialty Dental Services, PLLC. The authorized official on file is Charlotte Dasch, Director Of Credentialing & Prov Re.
Overview
| NPI | 1952086845 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Id Specialty Dental Services, PLLC |
| NPI issued | Jun 19, 2023 |
| Last updated in NPPES | Jun 19, 2023 |
| Certified by provider | Jun 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
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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