Individual
JIM R NEERINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
EIGHT 2ND STREET WEST, HOMEDALE, ID 83628
(208) 337-6101
(208) 337-6102
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3951
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS11571
ST BOARD OF PHARMACY
ID
Enumeration date
08/15/2006
Last updated
07/08/2007
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