NPI age
19 years
Enumerated 2006-09-22
● Active Type 2 · Organization
Kootenai Dental Group, Llc
Kootenai Dental Group, Llc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dick
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
555 W. Canfield Avenue
Coeur D'Alene, ID 838157892
Mailing address
555 W. Canfield Avenue
Coeur D'Alene, ID 838157892
Authorized official
Delwyn Lee Dick, DDS
Ceo
📞 2087628750
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
DeLwyn Lee Dick, D.D.S.
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 1099 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.