Individual
DR. TRACY DEAN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 E 17TH ST, IDAHO FALLS, ID 83404-6269
(208) 881-9177
(866) 767-0878
Mailing address
1400 E 17TH ST, IDAHO FALLS, ID 83404-6269
(208) 881-9177
(866) 767-0878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4216
ID
Other
Enumeration date
06/08/2009
Last updated
10/20/2023
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