# KEVIN HINTZ DDS, FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1992964126
- **Authorized official:** DR. KEVIN M HINTZ DDS (OWNER)
- **Authorized official phone:** (208) 457-8406

## Contact information

- **Practice address:** 1206 N IDAHO ST, POST FALLS, ID 83854-5131
- **Practice address phone:** (208) 457-8406
- **Practice address fax:** (208) 457-9680
- **Mailing address:** 1206 N IDAHO ST, POST FALLS, ID 83854-5131
- **Mailing address phone:** (208) 457-8406
- **Mailing address fax:** (208) 457-9680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3889 | ID | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 06/03/2008