Courtney M. Jackson, D.D.S.
Pediatric Dentistry · Rexburg, ID
UnclaimedD.D.S.NPI 1972864825
- Primary taxonomy
- 1223P0221X
- Enumerated
- 2012-06-06
- Practice location
- Rexburg, ID
- Last NPPES update
- 2016-02-03
State licenses
- ID · Dentist · NPPES self-reportedListed on NPI record
- WY · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.