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Search › Idaho › 1223G0001X

Taylor Jardine, D.D.S

NPI 1508093212 · on the registry since 2009 · sole proprietor

Practice

Address
72 S 1st E
Rexburg, ID 83440
Phone
(208) 356-4900
Fax
(208) 359-1600
Organisation at this address
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 325 E Main St, Saint Anthony, ID

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-08

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