# JEFFREY F. SOWLE DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790959609
- **Authorized official:** DR. JEFFREY F. SOWLE DDS (PRESIDENT)
- **Authorized official phone:** (208) 289-3221

## Contact information

- **Practice address:** 601 EAST MAIN ST, KENDRICK, ID 83537-0160
- **Practice address phone:** (208) 289-3221
- **Practice address fax:** (208) 289-3721
- **Mailing address:** PO BOX 160, KENDRICK, ID 83537-0160
- **Mailing address phone:** (208) 289-3221
- **Mailing address fax:** (208) 289-3721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 66D1616 | ID | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002462000 | — | ID |
| 05 | — | 5037569 | — | WA |