NPI age
16 years
Enumerated 2009-10-21
● Active Type 2 · Organization
Ty C. Corbridge, Dmd, Pc
Ty C. Corbridge, Dmd, Pc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Corbridge
Corporate Secretary
Last NPPES update
2026-01-28
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
16 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-10Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1607 Highway 2
Sandpoint, ID 838641779
Mailing address
1607 Highway 2
Sandpoint, ID 838641779
Authorized official
Sherry M Corbridge
Corporate Secretary
📞 2082651705
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mountain Lake Dental
Practice context
Single-site organization. Only one practice location 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.