DR. Jacob Vaughn Liljenquist, DMD is a general practice dentist in Pocatello, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jacob Vaughn Liljenquist, DMD NPI is 1508172107. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1000 N 8TH AVE
POCATELLO, ID
ZIP 83201-757
Phone: (208) 232-3368
Fax: (208) 776-5016
The NPI 1508172107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/20/2010 and was last updated on 5/17/2019.