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Individual
DR. REED K JARVIS
Active
Individual
DR. REED K JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8184825-9926
UT
1223G0001X
General Practice Dentistry
D-1526
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002420900
—
ID
01
—
1526
IDAHO STATE DENTAL LICENSE
ID
Enumeration date
08/16/2006
Last updated
09/23/2026
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