Clubhouse Pediatric Dentistry Of Jackson - Dental Clinic in Jackson Hole, WY

Clubhouse Pediatric Dentistry Of Jackson is a dental clinic (Dentist - Pediatric Dentistry) in Jackson Hole, Wyoming. The current practice location for Clubhouse Pediatric Dentistry Of Jackson is 1130 Us-89, Jackson Hole, Wyoming. For appointments, you can reach them via phone at (307) 733-5439. The mailing address for Clubhouse Pediatric Dentistry Of Jackson is 3210 E 81st S, Idaho Falls, Idaho and phone number is (307) 733-5439.

Clubhouse Pediatric Dentistry Of Jackson is licensed to practice in * (Not Available) (license number ) and its NPI number is 1942775960. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (307) 733-5439.

Contact Information

Clubhouse Pediatric Dentistry Of Jackson
1130 Us-89
Jackson Hole
WY 83001-8701
(307) 733-5439
Not Available

Dental Care Clinic Profile

Full NameClubhouse Pediatric Dentistry Of Jackson
SpecialityDentist - Pediatric Dentistry
Location1130 Us-89, Jackson Hole, Wyoming
Authorized Official Name and PositionCourtney Matthew Jackson (PEDIATRIC DENTIST)
Authorized Official Contact3077335439
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clubhouse Pediatric Dentistry Of Jackson
3210 E 81st S
Idaho Falls
ID 83406-8302

Ph: (307) 733-5439
Clubhouse Pediatric Dentistry Of Jackson
1130 Us-89
Jackson Hole
WY 83001-8701

Ph: (307) 733-5439

NPI Details:

NPI Number1942775960
Provider Enumeration Date10/05/2018
Last Update Date10/05/2018

Medical Identifiers

Medical identifiers for Clubhouse Pediatric Dentistry Of Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942775960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry (* (Not Available))Primary

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Dental Clinics in Jackson Hole, WY


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