P Praxis·MD
● Active Type 2 · Organization Subpart

Avondale Dental Center, Llc

Dentist·Coeur D'Alene, ID· NPI 1558887067 · Enumerated 2017 · 8 years on NPI
Avondale Dental Center, Llc is 1 of 591 dentist organizations in Idaho.
NPI age
8 years
Enumerated 2017-08-16
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Robson
Authorized Official
Last NPPES update
2017-08-16
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
8 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-08Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
700 Ironwood Dr, #366
Coeur D'Alene, ID 83814
📞 2086642160fax 2089304085
Mailing address
700 Ironwood Dr, #366
Coeur D'Alene, ID 83814
📞 2086642160fax 2089304085

Authorized official

James Robson, DDS
Authorized Official
📞 2087724066

Individual providers at this organization

2 individual providers on file at this primary practice address.

  • Gary Bills, DDS Dentist NPI 1548600265
  • Nicole Wham, MS CCC-A Audiologist-Hearing Aid Fitter NPI 1811919491

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D-4015 taxonomy 122300000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Element Dental
    Type code 5 recorded 2017-08-16

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

Subpart of Avondale Dental Center Llc Dba Element.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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