Individual provider · Type 1 NPI

Thomas L. Jaeger, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Coeur D Alene, ID

NPI number 1457403271 Active

Practice location

1717 Lincoln Way Ste 203
Coeur D Alene, ID 83814-2556

Fax (208) 664-8973

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X66D1852 (ID)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1457403271

Thomas L. Jaeger, DDS's National Provider Identifier is 1457403271, issued on Jan 18, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2007.