Organization
JMJ PRACTICE HOLDINGS, LLC
Active
Organization
JMJ PRACTICE HOLDINGS, LLC
Active
Parent organization
JMJ HOLDING LLC
Other names
Idaho Kids Dentistry & Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
JMJ HOLDING LLC
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
914 12TH AVE RD STE 102, NAMPA, ID 83686-5735
(208) 996-3010
Mailing address
914 12TH AVE RD STE 102, NAMPA, ID 83686-5735
(208) 996-3010
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
12/18/2025
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