Individual provider · Type 1 NPI

Jaimie Erickson

General Practice Dentistry · Moscow, ID

NPI number 1861057622 Active

Practice location

1215 E 6th St
Moscow, ID 83843-3705

Call (208) 610-5103 Map

Mailing address

2056 W 12015 S
Riverton, UT 84065-7518

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD-5020 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1861057622

Jaimie Erickson's National Provider Identifier is 1861057622, issued on May 7, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Moscow, ID. The record was last updated on May 7, 2019.