Search › Idaho › 122300000X
Jared Martin, DMD
NPI 1801341656 · on the registry since 2016
Practice
- Address
- 115 S Main St
Homedale, ID 83628 - Phone
- (208) 869-2243
- Organisation at this address
- Identistry Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-27
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