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Search › Idaho › Dentist

Jacob Tall

NPI 1265056121 · on the registry since 2020 · sole proprietor

Practice

Address
2460 E 25th St
Idaho Falls, ID 83404
Phone
(208) 525-4780
Organisation at this address
Mark A. Tall, P.A.
Craig Darrington Dds Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

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
2020-06-05

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