# GATES DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Idaho Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710364427
- **Authorized official:** MR. BENJAMIN L GATES D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (208) 691-7408

## Contact information

- **Practice address:** 2165 N. MERRITT CREEK LOOP, COEUR D ALENE, ID 83814
- **Practice address phone:** (208) 667-8282
- **Practice address fax:** (208) 667-9557
- **Mailing address:** 2165 N. MERRITT CREEK LOOP, COEUR D ALENE, ID 83814
- **Mailing address phone:** (208) 667-8282
- **Mailing address fax:** (208) 667-9557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D3355 | ID | Yes |

## Other

- **Enumeration date:** 05/01/2015
- **Last updated:** 08/17/2020