Provider Demographics
NPI:1336427988
Name:ORBAN, FILIP ELIAN (DDS)
Entity Type:Individual
Prefix:
First Name:FILIP
Middle Name:ELIAN
Last Name:ORBAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2834 N RAMSEY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-9003
Mailing Address - Country:US
Mailing Address - Phone:208-667-1546
Mailing Address - Fax:208-567-4845
Practice Address - Street 1:2834 N RAMSEY RD STE 103
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-9003
Practice Address - Country:US
Practice Address - Phone:208-667-1546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-01
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD43871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice