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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB VAUGHN LILJENQUIST, DMD

Active

General 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 AVE
POCATELLO, ID, 832015757
Browse 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.