Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMIAH MCKELL FUNK, DDS
Active Sole ProprietorDR. JEREMIAH MCKELL FUNK, DDS is a Dentist healthcare provider located in WENDELL, Idaho. NPI 1649535493 is currently active in the NPPES registry. Verify at CMS.
Dentist · WENDELL, ID
Registration Details
- NPI Number
- 1649535493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2012 (14.095584314383 yrs)
- Last Updated
- Feb 20, 2023
- Licenses
-
D-4555 (ID)28007 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 N IDAHO STWENDELL, ID, 833555038Browse ID providers · Browse ZIP 83355
- Phone
- 2085365441
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in WENDELL, ID
| Name | Credential | NPI |
|---|---|---|
| JACK C KULM | DMD PA | 1275641540 |
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.