DR. Jeremiah Mckell Funk, DDS

NPI #1649535493 in Wendell, Idaho

Provider Information

NPI Number: 1649535493
Entity Type: Individual
Name: DR. Jeremiah Mckell Funk, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 9, 2012
Last Updated: Feb 20, 2023

Practice Location

Address: 410 N IDAHO ST
City: Wendell
State: Idaho
ZIP Code: 83355-5038
Phone: (208) 536-5441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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