Dr. Jacob Vaughn Liljenquist
Dentist Dental Public Health Dentist - General Practice
1000 N 8th Ave
Pocatello
, Idaho 83201-5757
Dr. Jacob Vaughn Liljenquist
Dentist Dental Public Health Dentist - General Practice
1000 N 8th Ave
Pocatello
, Idaho 83201-5757
(702) 426-7558
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About
Features
Specialties
- Dentist
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Jacob Vaughn Liljenquist
- 9435 Castle Oaks Dr
- Fountain, CO
- Zip : 80817-4517
- Phone : (702) 426-7558
Second Address
- Dr. Jacob Vaughn Liljenquist
- 1000 N 8th Ave
- Pocatello, ID
- Zip : 83201-5757
- Fax : (208) 776-5016
- Phone : (208) 232-3368
Reviews
FAQs
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What type of doctor is Dr. Jacob Vaughn Liljenquist
In what state does Dr. Jacob Vaughn Liljenquist practice in?
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What is Dr. Jacob Vaughn Liljenquist ’s gender?
Is Dr. Jacob Vaughn Liljenquist a sole practitioner?
Is Dr. Jacob Vaughn Liljenquist accepting new patients?
What languages does Dr. Jacob Vaughn Liljenquist speak?
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Does Dr. Jacob Vaughn Liljenquist have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 7754866-9921 | UT |
| N | 122300000X | Dentist | DE60162914 | WA |
| N | 1223D0001X | Dental Public Health | D4811 | ID |
| Y | 1223G0001X | General Practice | 7754866-9921 | UT |
| Y | 213EG0000X | General Practice | 7754866-9921 | UT |
National Provider Identifier
| NPI | 1508172107 |
|---|---|
| Provider Name | Dr. Jacob Vaughn Liljenquist |
| First Address | Fountain, CO 80817-4517 |
| Second Address | Pocatello, ID 83201-5757 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2010 |
| Last Update Date | 17/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.