Jeremy C Wiggins in Lewiston - Pediatric Dentistry
Jeremy C Wiggins - NPI 1912916461
Jeremy C Wiggins is a Pediatric Dentistry in Lewiston, Idaho. Jeremy C Wiggins practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jeremy C Wiggins is 1912916461. The last update date is 2010-12-02.
Jeremy C Wiggins's current location address is 3326 4th St Ste 4, Lewiston, Idaho. You can contact this provider via phone number 2087432505 and fax number 2087466395. The mailing address for Jeremy C Wiggins is 3326 4th St Ste 4, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy C Wiggins |
|---|---|
| Address | 3326 4th St Ste 4, Lewiston, Idaho |
| Phone Number | 2087432505 |
| Fax Number | 2087466395 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912916461 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2010-12-02 |
Provider Mailing Address Detail
| Address | 3326 4th St Ste 4 |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835014455 |
| Phone Number | 2087432505 |
| Fax Number | 2087466395 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D-3494 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5039532 | WA | -- | |
| 806332400 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy C Wiggins by the Centers for Medicare & Medicaid Services (CMS)?
The Jeremy C Wiggins has been assigned the NPI (National Provider Identifier) 1912916461. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jeremy C Wiggins?
The Jeremy C Wiggins is physically situated at 3326 4Th St Ste 4, in the city of Lewiston, state of ID, with the postal code 835014455.
What is Jeremy C Wiggins's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy C Wiggins's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When was the Jeremy C Wiggins's 1912916461 issued?
The Jeremy C Wiggins's 1912916461 was issued on 2006-08-05.
As of what date was the information regarding Jeremy C Wiggins, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeremy C Wiggins, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-12-02.