Individual
DR. COURTNEY MATTHEW JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
859 S YELLOWSTONE HWY STE 1202, REXBURG, ID 83440-6201
(208) 552-5439
(208) 552-5440
Mailing address
859 S YELLOWSTONE HWY STE 1202, REXBURG, ID 83440-6201
(208) 552-5439
(208) 552-5440
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
1433
WY
1223P0221X
Pediatric Dentistry
Primary
D-4655-PD
ID
Other
Enumeration date
06/06/2012
Last updated
02/03/2016
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