NPI age
19 years
Enumerated 2007-01-23
● Active
Type 1 · Individual
John M Ukich, D.D.S.
Ukich is 1 of 3 dentist providers in Coeur D Alene and 1 of 114 in Idaho.
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 114 active dentist providers in Idaho.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
1717 Lincoln Way, Suite 205
Coeur D Alene, ID 838142556
Mailing address
11493 N Eastshore Dr
Hayden Lake, ID 838359091
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 526225 | UNITED CONCORDIA # |
| 01 (ID) | D1656 | STATE LISENCE # |
| 01 (ID) | 000010009296 | BLUE SHIELD ID# |
| 01 (ID) | 6G660 | BLU CROSS ID# |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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