Organization
TY C. CORBRIDGE, DMD, PC
Active
Other names
Mountain Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY M CORBRIDGE (CORPORATE SECRETARY)
(208) 265-1705
Entity
Organization
Contact information
Practice address
1607 HIGHWAY 2, SANDPOINT, ID 83864-1779
(208) 265-1705
(855) 939-2028
Mailing address
1607 HIGHWAY 2, SANDPOINT, ID 83864-1779
(208) 265-1705
(855) 939-2028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2009
Last updated
01/28/2026
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