Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB VAUGHN LILJENQUIST, DMD
ActiveGeneral Dentistry · POCATELLO, ID
Registration Details
- NPI Number
- 1508172107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2010 (15.670403165437 yrs)
- Last Updated
- May 17, 2019
- Licenses
-
7754866-9921 (UT)7754866-9921 (UT)DE60162914 (WA)D4811 (ID)
Practice Information
- Address
-
1000 N 8TH AVEPOCATELLO, ID, 832015757Browse ID providers · Browse ZIP 83201
- Phone
- 2082323368
- Fax
- 2087765016
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
- Additional Specialty
- Dental Public Health
Other General Dentistry Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD E. FELLOWS | D.D.S. | 1730139023 |
| DAVID MICHAEL SUTTON | D.D.S. | 1578517181 |
| DR. JASON ARTHUR MAUSETH | DDS | 1316968241 |
| TRAVIS BOYER | D.M.D. | 1992715304 |
| DR. KYLE JAMES SIEMEN | DMD | 1952311078 |
| MARCUS D NEFF | DDS | 1811907744 |
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.