P Praxis·MD
● Active Type 2 · Organization

Matteson Implant And Reconstructive Dentistry Pc.

Dentist·Coeur D Alene, ID· NPI 1679096523 · Enumerated 2017 · 8 years on NPI
Matteson Implant And Reconstructive Dentistry Pc. is 1 of 11 dentist organizations in Idaho.
NPI age
8 years
Enumerated 2017-07-24
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Matteson
Owner/ Prosthodontist
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 11 active dentist providers in Idaho.

NPI age
8 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
801 W Milwaukee Dr
Coeur D Alene, ID 838142236
📞 2086640884
Mailing address
801 W Milwaukee Dr
Coeur D Alene, ID 838142236
📞 2086640884

Authorized official

Alvin Brett Matteson, DDS, FACP
Owner/ Prosthodontist
📞 2708532508

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
    ID license #D-4027 taxonomy 1223P0700X
  • Dentist
    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-4027 taxonomy 122300000X

Other names on file (2)

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

  • Lakeview Dental
    Type code 3 recorded 2017-07-24
  • Lakeview Dental
    Type code 3 recorded 2017-07-21

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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