SearchIdahoGeneral Practice Dentistry

Jason Mauseth, DDS

NPI 1316968241 · on the registry since 2006 · sole proprietor

Practice

Address
1246 Yellowstone Ave
Ste B1
Pocatello, ID 83201
Phone
(208) 237-2462
Fax
(208) 237-5297
Organisation at this address
Vistec Llc
Clark Family Medicine
Creekside Hospice Inc.
Portneuf Valley Dental
Sleep Better Idaho Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
Licence states on file
ID, AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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