Search › Idaho › 1223G0001X
Jacob Erickson, DMD
NPI 1407738289 · on the registry since 2025
Practice
- Address
- 11136 Moss Ln
Nampa, ID 83651 - Phone
- (208) 466-0515
- Fax
- (208) 466-5359
- Organisation at this address
- Community Health Clinics, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 3115 E Florence Dr, Meridian, ID
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-28
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