Individual
DR. JAYSON ANDERS BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8 N DIVISION ST, PINEHURST, ID 83850
(208) 680-5144
Mailing address
418 W CAMERON AVE, KELLOGG, ID 83837-2111
(208) 682-4540
(208) 783-6011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4491
ID
Other
Enumeration date
06/06/2013
Last updated
05/25/2016
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