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Jerome Toothtown Pllc
Pediatric Dentist in Jerome, Idaho
NPI 1568100857

Jerome Toothtown Pllc is a Pediatric Dentist based in Jerome, ID and is specialized in Pediatric Dentistry. Jerome Toothtown Pllc practices in Jerome, ID. The NPI Number for Jerome Toothtown Pllc is 1568100857 and holds a License No. (Idaho).

The current practice location address for Jerome Toothtown Pllc is 1555 S Lincoln Ave, Jerome, ID and can be reached out via phone at 208-539-9876.

Location: 1555 S Lincoln Ave, Jerome, ID, 83338-6136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568100857
Provider Name
Jerome Toothtown Pllc
Credential
Provider Entity Type
Organization
Address
1555 S Lincoln Ave, Jerome, ID, 83338-6136
Phone Number
208-539-9876
Fax Number
Provider Enumeration Date
05/25/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1555 S Lincoln Ave
City
Jerome
State
Idaho
Zip
83338-6136
Phone Number
208-539-9876
Fax Number
person
Provider Business Mailing Address Details
Address
1555 S Lincoln Ave
City
Jerome
State
Idaho
Zip
83338-6136
Phone Number
208-539-9876
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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