Jacob Reed Jarivs in Boise - Orthodontics And Dentofacial Orthopedics

Jacob Reed Jarivs - NPI 1952504318

Jacob Reed Jarivs is a Orthodontics And Dentofacial Orthopedics in Boise, Idaho. Jacob Reed Jarivs practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jacob Reed Jarivs is 1952504318. The last update date is 2007-07-08.

Jacob Reed Jarivs's current location address is 6000 S Quamash Way, Boise, Idaho. You can contact this provider via phone number 2083830100 and fax number 2083215507. The mailing address for Jacob Reed Jarivs is 6000 S Quamash Way, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob Reed Jarivs
Address 6000 S Quamash Way, Boise, Idaho
Phone Number 2083830100
Fax Number 2083215507
Sole Proprietor Y
Credentials DMD, MS

NPI Number Detail

NPI Number 1952504318
Provider Enumeration Date 2007-06-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6000 S Quamash Way
City Boise
State Idaho (ID)
Post Code 837165617
Phone Number 2083830100
Fax Number 2083215507

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No D3999-OR
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Jacob Reed Jarivs

What is the unique 10-digit identification code assigned to Jacob Reed Jarivs by the Centers for Medicare & Medicaid Services?

The Jacob Reed Jarivs has been issued the NPI (National Provider Identifier) 1952504318, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jacob Reed Jarivs's facilities are situated?

The facilities of Jacob Reed Jarivs are physically located at the following address: 6000 S Quamash Way, Boise, ID, 837165617.

What is Jacob Reed Jarivs's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jacob Reed Jarivs is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.

On what date did the Jacob Reed Jarivs receive the assignment of its 1952504318 from the Centers for Medicare & Medicaid Services?

The Jacob Reed Jarivs was issued its 1952504318 by the Centers for Medicare & Medicaid Services on 2007-06-05.

When was the information related to Jacob Reed Jarivs most recently updated or refreshed?

The details pertaining to the Jacob Reed Jarivs, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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