Search › Idaho › 111N00000X
Jason Haycock, D.C
NPI 1841271517 · on the registry since 2005
Practice
- Address
- 1848 Millenium Way
Meridian, ID 83642 - Phone
- (208) 855-2688
- Fax
- (208) 855-2689
- Organisation at this address
- Millennium Family Dental - Meridian Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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