Dr Jacob Vaughn Liljenquist, DMD - Dentist in Pocatello, ID

Dr Jacob Vaughn Liljenquist, DMD is a Dentist - General Practice based in Pocatello, Idaho. Dr Jacob Vaughn Liljenquist is licensed to practice in Utah (license number 7754866-9921) and his current practice location is 1000 N 8th Ave, Pocatello, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 232-3368.

NPI number for Dr Jacob Vaughn Liljenquist is 1508172107 and his current mailing address is 9435 Castle Oaks Dr, Fountain, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508172107.

Contact Information

Dr Jacob Vaughn Liljenquist, DMD
1000 N 8th Ave,
Pocatello, ID 83201-5757
(208) 232-3368
(208) 776-5016

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacob Vaughn Liljenquist
GenderMale
SpecialityDentist - General Practice
Location1000 N 8th Ave, Pocatello, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508172107
  • Provider Enumeration Date: 08/20/2010
  • Last Update Date: 05/17/2019

Medical Identifiers

Medical identifiers for Dr Jacob Vaughn Liljenquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508172107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 7754866-9921 (Utah)Secondary
122300000XDentist DE60162914 (Washington)Secondary
1223D0001XDentist - Dental Public Health D4811 (Idaho)Secondary
1223G0001XDentist - General Practice 7754866-9921 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Vaughn Liljenquist is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacob Vaughn Liljenquist, DMD
9435 Castle Oaks Dr,
Fountain, CO 80817-4517

Ph: (702) 426-7558
Dr Jacob Vaughn Liljenquist, DMD
1000 N 8th Ave,
Pocatello, ID 83201-5757

Ph: (208) 232-3368

Reviews and Comments


Dentist in Pocatello, ID

Dr. Duane J Williams, DMD
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Carl B Holm, D.D.S.
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Medicare: Not Enrolled in Medicare
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Phone: 440-623-1264    
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Medicare: Not Enrolled in Medicare
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-282-6000    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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