Tye Padilla, DMD

NPI 1437727005 · on the registry since 2021

Practice

Address: 223 W Ironwood Dr
Coeur D Alene, ID 83814
Phone: (208) 277-9321
Organisation at this address: K Watts Dental Pllc
Travis D. Broughton
Yes Today Dentistry Coeur D'Alene Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho