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Dr. Spencer E. Mauseth, DDS
Pediatric Dentist in Rexburg, Idaho
NPI 1619187390

Spencer E. Mauseth is a Pediatric Dentist based in Rexburg, ID and is specialized in Pediatric Dentistry. Spencer E. Mauseth practices in Rexburg, ID and has the professional credentials of DDS. The NPI Number for Spencer E. Mauseth is 1619187390 and holds a License No. DDS61986 (Idaho).

The current practice location address for Spencer E. Mauseth is 859 S Yellowstone Hwy, Rexburg, ID and can be reached out via phone at 208-552-5439 and via fax at 208-552-5440.

Location: 859 S Yellowstone Hwy, Rexburg, ID, 83440-5293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619187390
Provider Name
Spencer E. Mauseth
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
859 S Yellowstone Hwy, Rexburg, ID, 83440-5293
Phone Number
208-552-5439
Fax Number
208-552-5440
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
859 S Yellowstone Hwy
City
Rexburg
State
Idaho
Zip
83440-5293
Phone Number
208-552-5439
Fax Number
208-552-5440
person
Provider Business Mailing Address Details
Address
859 S Yellowstone Hwy
City
Rexburg
State
Idaho
Zip
83440-5293
Phone Number
208-552-5439
Fax Number
208-552-5440
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DDS61986 (California)
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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