Dr. Cody Kent Haas
Dentist Prosthodontist
1639 23rd Ave
Lewiston
, Idaho 83501-6308
Dr. Cody Kent Haas
Dentist Prosthodontist
1639 23rd Ave
Lewiston
, Idaho 83501-6308
(208) 746-0431
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About
Features
Specialties
- Dentist
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Cody Kent Haas
- 1639 23rd Ave
- Lewiston, ID
- Zip : 83501-6308
- Phone : (208) 746-0431
Second Address
- Dr. Cody Kent Haas
- 1639 23rd Ave
- Lewiston, ID
- Zip : 83501-6308
- Phone : (208) 746-0431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | D-4156 | ID |
| N | 1223P0700X | Prosthodontist | DE 60023524 | WA |
National Provider Identifier
| NPI | 1114252517 |
|---|---|
| Provider Name | Dr. Cody Kent Haas |
| First Address | Lewiston, ID 83501-6308 |
| Second Address | Lewiston, ID 83501-6308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2009 |
| Last Update Date | 02/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.