Individual
DR. KAITLIN REBECCA GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
810 SIXTH AVE, SANDPOINT, ID 83864-5396
(208) 265-2242
Mailing address
810 SIXTH AVE, SANDPOINT, ID 83864-5396
(208) 946-7187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5514
ID
1223D0001X
Public Health Dentistry
D-5514
ID
Other
Enumeration date
05/30/2023
Last updated
02/04/2026
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