Organization
DENTISTRY '4' CHILDREN PLLC
Active
Other names
Dr Jeremy Wiggins
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE LESTER (OFFICE MANAGER)
(208) 743-2505
Entity
Organization
Contact information
Practice address
3326 4TH ST, SUITE 4, LEWISTON, ID 83501-4455
(208) 743-2505
(208) 746-6395
Mailing address
3326 4TH ST, SUITE 4, LEWISTON, ID 83501-4455
(208) 743-2505
(208) 746-6395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3494
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806332400
—
ID
05
—
806496000
—
ID
Enumeration date
10/24/2005
Last updated
12/02/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us