# TOOTHACRES DENTAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548381775
- **Authorized official:** DR. SHAD RYAN HELM D.D.S (OWNER)
- **Authorized official phone:** (208) 773-8388

## Contact information

- **Practice address:** 105 E 10TH AVE, SUITE B, POST FALLS, ID 83854-5125
- **Practice address phone:** (208) 773-8388
- **Practice address fax:** (208) 777-0346
- **Mailing address:** 105 E 10TH AVE, SUITE B, POST FALLS, ID 83854-5125
- **Mailing address fax:** (208) 777-0346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-3866 | ID | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020