NPI age
2 years
Enumerated 2024-02-26
● Active Type 2 · Organization
Subpart
Id Oms Specialty Dental Services, Pllc
Id Oms Specialty Dental Services, Pllc is 1 of 64 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dasch
Director Of Credentialing &pr
Last NPPES update
2024-02-26
Source: monthly bulk 2026-05
How this organization compares
Across 64 active dentist providers in Idaho.
NPI age
2 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-02Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1859 N Lakewood Dr Ste 101
Coeur D Alene, ID 838142661
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 372091442
Authorized official
Charlotte Dasch
Director Of Credentialing &pr
📞 5046380303
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Richard Montandon, D.D.S. Dentist NPI 1164650198
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Implants Northwest
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Id Oms Specialty Dental Services, Pllc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.