Stephen Philip Gloudeman, DMD

General Practice Dentistry · Post Falls, ID

Individual Active NPI

NPI number 1912691627

Practice location

105 E 10TH Ave
Post Falls, ID 83854-5125

Phone: (208) 773-8388

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NPI record

NPI: 1912691627
Entity type: Individual (Type 1)
Enumeration date: June 6, 2023
Last updated: June 6, 2023
Certified: June 6, 2023
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	D5526	ID

About Dr. Gloudeman

Stephen Philip Gloudeman, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 105 E 10TH Ave, Post Falls, ID 83854-5125. The NPI number 1912691627 was assigned on June 6, 2023 and the record was last updated on June 6, 2023.

Dr. Gloudeman lists a license in the registry: #D5526 (ID) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Philip Gloudeman, DMD?

The NPI number is 1912691627.

What is the phone number of Dr. Gloudeman?

The phone number listed for the practice location is (208) 773-8388.

Where is Dr. Gloudeman located?

105 E 10TH Ave, Post Falls, ID 83854-5125.

What is the taxonomy code for Dr. Gloudeman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.