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DR. JACOB VAUGHN LILJENQUIST DMD
NPI 1508172107
Dentist - General Practice in Pocatello, ID

Active since August 20, 2010
1000 N 8TH AVE, POCATELLO, ID 83201(208) 232-3368(208) 776-5016 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2019, Jan 31, 2017, Jun 16, 2016 (3 updates tracked since 2016).

About Dr. Jacob Vaughn Liljenquist Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB VAUGHN LILJENQUIST DMD (NPI 1508172107) is an individual general practice provider in Pocatello, Idaho, licensed in Utah (7754866-9921) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1508172107
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACOB VAUGHN LILJENQUISTCredential: DMD
Location Address1000 N 8TH AVEPocatello, ID 83201-5757
Mailing Address9435 Castle Oaks DrFountain, CO 80817-4517 · (702) 426-7558
Phone(208) 232-3368
Fax(208) 776-5016
Sole ProprietorNo
Enumeration DateAugust 20, 2010
Last NPPES UpdateMay 17, 20193 updates tracked since enumeration
✔ NPI 1508172107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 7754866-9921
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 7754866-9921 (UT), DE60162914 (WA)
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License D4811 (ID)
1000 N 8TH AVE, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN RENE SMITH SE202993
Psychologist (Clinical)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
MARCUS D NEFF DDS
Dentist (General Practice)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-3368
ZUZANA FLETCHER FNP
Nurse Practitioner (Family)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
HEALTHWEST
Psychologist (Clinical)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
JENNIE BRUMFIELD PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
MS. DOTY JANENE COLLINS LCSW
Social Worker (Clinical)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
HEALTH WEST, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-3369
MICHAEL LLOYD LUDWIG LCSW-33464
Social Worker (Clinical)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Liljenquist's NPI number?

The NPI number for Jacob Liljenquist is 1508172107. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Where is Jacob Liljenquist located?

Jacob Liljenquist practices at 1000 N 8th Ave, Pocatello, ID 83201. The listed phone number is (208) 232-3368.

What is Jacob Liljenquist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jacob Liljenquist accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jacob Liljenquist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Liljenquist was last updated on May 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.