DR. STEPHEN PHILIP GLOUDEMAN DMD NPI 1912691627

NPI Information

  • NPI: 1912691627
  • Provider Name: DR. STEPHEN PHILIP GLOUDEMAN, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 105 E 10TH AVE
    POST FALLS, ID
    ZIP 83854
  • Phone: (208) 773-8388

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NPI Details

DR. Stephen Philip Gloudeman, DMD is a general practice dentist in Post Falls, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Stephen Philip Gloudeman, DMD NPI is 1912691627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 E 10TH AVE
POST FALLS, ID
ZIP 83854-125
Phone: (208) 773-8388

The enumeration date for this NPI number is 6/6/2023 and was last updated on 6/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD5526IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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