| Jaeger Orthodontics | |
|
1717 Lincoln Way #203 Coeur D Alene ID 83814-2556 | |
| (208) 667-3341 | |
| Not Available |
| Full Name | Jaeger Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 1717 Lincoln Way, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Thomas L Jaeger (OWNER) |
| Authorized Official Contact | 2086673341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaeger Orthodontics 1717 Lincoln Way #203 Coeur D Alene ID 83814-2556 Ph: (208) 667-3341 | Jaeger Orthodontics 1717 Lincoln Way #203 Coeur D Alene ID 83814-2556 Ph: (208) 667-3341 |
| NPI Number | 1235588781 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235588781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | N-01968 (Idaho) | Primary |
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