Individual provider · Type 1 NPI
Jeremy C. Wiggins, DDS
Pediatric Dentistry · Lewiston, ID
NPI number
1912916461
Active
Practice location
3326 4th St Ste 4
Lewiston, ID 83501-4455
Fax (208) 746-6395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D-3494 (ID) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Lewiston
About NPI 1912916461
Jeremy C. Wiggins, DDS's National Provider Identifier is 1912916461, issued on Aug 5, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lewiston, ID. The record was last updated on Dec 2, 2010.