Wayne L. Jurkovich, DDS

General Practice Dentistry · Wallace, ID

Individual Active NPI

NPI number 1700932704

Practice location

611 Bank St
Wallace, ID 83873-2226
Phone
(208) 556-8171
Fax
(208) 556-8171

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NPI record

NPI
1700932704
Entity type
Individual (Type 1)
Enumeration date
January 25, 2007
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D1832 ID

About Dr. Jurkovich

Wayne L. Jurkovich, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 611 Bank St, Wallace, ID 83873-2226. The NPI number 1700932704 was assigned on January 25, 2007 and the record was last updated on July 9, 2007.

Dr. Jurkovich lists a license in the registry: #D1832 (ID) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wayne L. Jurkovich, DDS?

The NPI number is 1700932704.

What is the phone number of Dr. Jurkovich?

The phone number listed for the practice location is (208) 556-8171.

Where is Dr. Jurkovich located?

611 Bank St, Wallace, ID 83873-2226.

What is the taxonomy code for Dr. Jurkovich?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.