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JEPPSON ENDODONTICS PLLC NPI 1073947958


NPI Information

NPI: 1073947958
Provider Name: JEPPSON ENDODONTICS, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
101 E MAIN ST
SUITE 202
REXBURG, ID
ZIP 83440
Phone: (208) 357-4826
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JEPPSON ENDODONTICS, PLLC is a dental clinic center in Rexburg, ID. JEPPSON ENDODONTICS, PLLC NPI is 1073947958. The provider is registered as an organization entity type.

The provider's business location address is:

101 E MAIN ST
SUITE 202
REXBURG, ID
ZIP 83440-000
Phone: (208) 357-4826

The provider's authorized official is Joshua Jeppson .
The authorized official title is Owner and has the following contact phone number (208) 357-4826.

The enumeration date for this NPI number is 8/27/2013 and was last updated on 12/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental8121225-9921UTAHNo
2261QD0000XClinic/CenterDental8121225-9922UTAHNo
3261QD0000XClinic/CenterDentalD-4167-ENIDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.