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Search › Idaho › 1223G0001X

Jay Harris

NPI 1851438709 · on the registry since 2007 · sole proprietor

Practice

Address
3815 Washington Pkwy
Idaho Falls, ID 83404
Phone
(208) 529-4500
Fax
(208) 524-6248
Organisation at this address
Harris Dental
Harris & Allen Dental
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

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
2007-07-09

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