NPI age
6 years
Enumerated 2020-01-14
● Active Type 2 · Organization
Mickelson-Gates Dentistry Pllc
Mickelson-Gates Dentistry Pllc is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Winter
Office Manager
Last NPPES update
2021-02-03
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
6 years
↓ 10 yr below median
Practice locations
3
2 secondary on file
Subspecialties
1
In the 17% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2165 N Merritt Creek
Coeur D Alene, ID 838148381
Mailing address
2165 N Merritt Creek Loop
Coeur D Alene, ID 838144949
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
30336 Highway 200 Ste A
Ponderay, ID 838529775
Location 3
2165 N Merritt Creek Loop
Coeur D Alene, ID 838144949
Authorized official
Amy Winter
Office Manager
📞 2086678282
Specialties
-
Dentist PrimaryA 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...
-
DentistThe science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. ...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1184035115 | CHACE MICKELSON |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
North Idaho Dental Group
-
North Idaho Dental Group
Practice context
Multi-site organization. 2 additional practice locations on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.