Individual provider · Type 1 NPI

Jacob Tall

Dentist · Idaho Falls, ID

NPI number 1265056121 Active

Practice location

2460 E 25th St
Idaho Falls, ID 83404-7549

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD-5144 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1265056121

Jacob Tall's National Provider Identifier is 1265056121, issued on Jun 5, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 5, 2020.