DR. Courtney Matthew Jackson, D.D.S.

NPI #1972864825 in Rexburg, Idaho

Provider Information

NPI Number
1972864825
Entity Type
Individual
Name
DR. Courtney Matthew Jackson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Jun 6, 2012
Last Updated
Feb 3, 2016

Practice Location

Address
859 S YELLOWSTONE HWY STE 1202
State
Idaho
ZIP Code
83440-6201
Phone
(208) 552-5439

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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