Search › Idaho › 122300000X
Jeremiah Funk, DDS
NPI 1649535493 · on the registry since 2012 · sole proprietor
Practice
- Address
- 410 N Idaho St
Wendell, ID 83355 - Phone
- (208) 536-5441
- Organisation at this address
- Jack C. Kulm Dmd Pa
Wendell Family Medicine, Llc
Todays Dental Care Wendell LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- ID, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-20
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