# ASSOCIATED DENTISTS OF COEUR D'ALENE, PA.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1841201548
- **Authorized official:** DR. STAN RASMUSSEN DDS (VICE PRESIDENT)
- **Authorized official phone:** (208) 765-3322

## Contact information

- **Practice address:** 1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID 83814-2570
- **Practice address phone:** (208) 765-3322
- **Practice address fax:** (208) 765-1024
- **Mailing address:** 1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID 83814-2570
- **Mailing address phone:** (208) 765-3322
- **Mailing address fax:** (208) 765-1024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1528 | ID | — |
| 1223G0001X | General Practice Dentistry | D1899 | ID | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/22/2020