Charles Tanner Higham, DMD

NPI #1255997888 in Rexburg, Idaho

Provider Information

NPI Number: 1255997888
Entity Type: Individual
Name: Charles Tanner Higham, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 20, 2019
Last Updated: May 20, 2019

Practice Location

Address: 242 E MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-2022
Phone: (208) 206-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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