Jakob Rodgers, DDS
NPI 1194463778 · on the registry since 2022
Practice
- Address
- 12190 W Evely Pines Ln
Star, ID 83669 - Phone
- (208) 996-3003
- Organisation at this address
- Ikdo Star Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho