Individual
GREGORY COLTON NIBLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 E MEDICAL CT, POST FALLS, ID 83854-7298
(208) 773-1559
Mailing address
1015 W IRONWOOD DR, COEUR D ALENE, ID 83814-2602
(208) 500-5894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6071071
ID
Other
Enumeration date
03/06/2023
Last updated
10/07/2025
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