William Guy Jeppe JR. DMD

NPI 1083709034 - Dentist - 1223G0001X

NPI Details
NPI 1083709034
Gender Male
Enumeration Date 10/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
115 SOUTH MAIN
HOMEDALE ID, 83628, US
Phone (208) 337-4383
Fax (208) 337-5715
Business Location
PO BOX 1170
HOMEDALE ID, 83628, US
Phone (208) 337-4383
Fax (208) 337-5715
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D-1675
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According to our database, Dr. William Guy Jeppe JR. DMD NPI is 1083709034, taxonomy code is 1223G0001X and license number is D-1675, license state is located at Idaho. William Guy Jeppe JR. DMD physically located at 115 South Main, Homedale ID, 83628. NPI Number William Guy Jeppe JR. DMD has the Individual type.

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1083709034 NPI number is provided on an as is basis without warranty of any kind. 1083709034 is maintained by the National Plan & Provider Enumeration System. The contents of William Guy Jeppe JR. DMD are for informational purposes only.