Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANIEL GRANT FREEMAN JEFFERIES, DMD
Active Sole ProprietorDR. DANIEL GRANT FREEMAN JEFFERIES, DMD is a Dentist healthcare provider located in PONDERAY, Idaho. NPI 1285293167 is currently active in the NPPES registry. Verify at CMS.
Dentist · PONDERAY, ID
Registration Details
- NPI Number
- 1285293167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2019 (7.1422856337175 yrs)
- Last Updated
- Jun 13, 2019
- License
-
D-5050 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30410 HIGHWAY 200PONDERAY, ID, 838529601Browse ID providers · Browse ZIP 83852
- Phone
- 2082637101
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PONDERAY, ID
| Name | Credential | NPI |
|---|---|---|
| DAVID PAUL COX | DDS | 1811009988 |
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.