Individual provider · Type 1 NPI
Jacob Reed Jarivs, DMD, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Boise, ID
Practice location
6000 S Quamash Way
Boise, ID 83716-5617
Fax (208) 321-5507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D3999-OR (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 1952504318
Jacob Reed Jarivs, DMD, MS's National Provider Identifier is 1952504318, issued on Jun 5, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.