Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKOB RODGERS, DDS
ActiveJAKOB RODGERS, DDS is a Dentist healthcare provider located in STAR, Idaho. NPI 1194463778 is currently active in the NPPES registry. Verify at CMS.
Dentist · STAR, ID
Registration Details
- NPI Number
- 1194463778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2022 (4.2014293000865 yrs)
- Last Updated
- Sep 8, 2024
- License
-
D-5406 (ID)
Practice Information
- Address
-
12190 W EVELY PINES LNSTAR, ID, 836696126Browse ID providers · Browse ZIP 83669
- Phone
- 2089963003
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in STAR, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CARSON STEVEN DIAL | DMD | 1497105944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.