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

JEREMY C WIGGINS, DDS

Active

JEREMY C WIGGINS, DDS is a Pediatric Dentistry healthcare provider located in LEWISTON, Idaho. NPI 1912916461 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LEWISTON, ID

Registration Details

NPI Number
1912916461
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2006 (20.05485726858 yrs)
Last Updated
Dec 2, 2010
License
D-3494 (ID)

Practice Information

Address
3326 4TH ST STE 4
LEWISTON, ID, 835014455
Browse ID providers · Browse ZIP 83501
Phone
2087432505
Fax
2087466395
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in LEWISTON, ID

Name Credential NPI
CURTIS E WIGGINS DDS 1962411421
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.