Organization · Type 2 NPI
Jeppson Endodontics, PLLC
Dental Clinic/Center · Rexburg, ID
NPI number
1073947958
Active
Practice location
101 E Main St, Suite 202
Rexburg, ID 83440-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | 8121225-9921 (UT) |
| Dental Clinic/Center | 261QD0000X | 8121225-9922 (UT) |
| Dental Clinic/Center Primary | 261QD0000X | D-4167-EN (ID) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Rexburg
About NPI 1073947958
Jeppson Endodontics, PLLC's National Provider Identifier is 1073947958, issued on Aug 27, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rexburg, ID. The record was last updated on Dec 13, 2016.