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Jeremy C Wiggins, DDS
Pediatric Dentist in Lewiston, Idaho
NPI 1912916461

Jeremy C Wiggins is a Pediatric Dentist based in Lewiston, ID and is specialized in Pediatric Dentistry. Jeremy C Wiggins practices in Lewiston, ID and has the professional credentials of DDS. The NPI Number for Jeremy C Wiggins is 1912916461 and holds a License No. D-3494 (Idaho).

The current practice location address for Jeremy C Wiggins is 3326 4Th St Ste 4, Lewiston, ID and can be reached out via phone at 208-743-2505 and via fax at 208-746-6395.

Location: 3326 4Th St Ste 4, Lewiston, ID, 83501-4455
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Provider Profile Details
NPI Number
1912916461
Provider Name
Jeremy C Wiggins
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3326 4Th St Ste 4, Lewiston, ID, 83501-4455
Phone Number
208-743-2505
Fax Number
208-746-6395
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5039532 05 WA
806332400 05 ID
institution
Provider Business Practice Location Address Details
Address
3326 4Th St Ste 4
City
State
Zip
83501-4455
Phone Number
208-743-2505
Fax Number
208-746-6395
person
Provider Business Mailing Address Details
Address
3326 4Th St Ste 4
City
State
Zip
83501-4455
Phone Number
208-743-2505
Fax Number
208-746-6395
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D-3494 (Idaho)
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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