# THOMAS LEE JAEGER DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jaeger Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235588781
- **Authorized official:** DR. THOMAS L JAEGER DDS (OWNER)
- **Authorized official phone:** (208) 667-3341

## Contact information

- **Practice address:** 1717 LINCOLN WAY, \#203, COEUR D ALENE, ID 83814-2556
- **Practice address phone:** (208) 667-3341
- **Mailing address:** 1717 LINCOLN WAY, \#203, COEUR D ALENE, ID 83814-2556
- **Mailing address phone:** (208) 667-3341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | N-01968 | ID | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/15/2016