# MACNEILL FAMILY DENTAL PLLC

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

## Provider details

- **NPI number:** 1881066306
- **Authorized official:** JONI MACNEILL DDS (OWNER DENTIST)
- **Authorized official phone:** (208) 263-4353

## Contact information

- **Practice address:** 1575 ONTARIO ST, SANDPOINT, ID 83864-1786
- **Practice address phone:** (208) 263-4353
- **Mailing address:** 1575 ONTARIO ST, SANDPOINT, ID 83864-1786
- **Mailing address phone:** (208) 263-4353

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 10/23/2015