Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COURTNEY MATTHEW JACKSON, D.D.S.
ActiveDR. COURTNEY MATTHEW JACKSON, D.D.S. is a Pediatric Dentistry healthcare provider located in REXBURG, Idaho. NPI 1972864825 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · REXBURG, ID
Registration Details
- NPI Number
- 1972864825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2012 (14.206958164645 yrs)
- Last Updated
- Feb 3, 2016
- Licenses
-
1433 (WY)D-4655-PD (ID)
Practice Information
- Address
-
859 S YELLOWSTONE HWY STE 1202REXBURG, ID, 834406201Browse ID providers · Browse ZIP 83440
- Phone
- 2085525439
- Fax
- 2085525440
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| DR. SPENCER E. MAUSETH | D.D.S. | 1619187390 |
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.