Courtney Jackson, D.D.S

NPI 1972864825 · on the registry since 2012

Practice

Address: 859 S Yellowstone Hwy Ste 1202
Rexburg, ID 83440
Phone: (208) 552-5439
Fax: (208) 552-5440
Organisation at this address: Night Boat Pllc
Core Connection
Hgns Investments
Idaho Counseling
Douglas R. Schultz
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: Pediatric Dentistry
1223P0221X
Also registered as: Pediatric Dentistry
Licence states on file: WY, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-02-03

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