# RIVERSTONE DENTAL CARE

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

## Provider details

- **NPI number:** 1619197118
- **Authorized official:** DR. DOUGLAS W PULSIPHER D.D.S. (OWNER)
- **Authorized official phone:** (208) 676-8500

## Contact information

- **Practice address:** 2344 N MERRIT CREEK LOOP, COEUR D ALENE, ID 83814-4950
- **Practice address phone:** (208) 676-8500
- **Practice address fax:** (208) 246-2400
- **Mailing address:** 2344 N MERRIT CREEK LOOP, COEUR D ALENE, ID 83814-4950
- **Mailing address phone:** (208) 676-8500
- **Mailing address fax:** (208) 246-2400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3744 | ID | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020