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WAYNE L. JURKOVICH DDS
NPI 1700932704
Dentist - General Practice in Wallace, ID

Active since January 25, 2007
611 BANK ST, WALLACE, ID 83873(208) 556-8171(208) 556-8171 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wayne L. Jurkovich Dds NPPES

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

WAYNE L. JURKOVICH DDS (NPI 1700932704) is an individual general practice provider in Wallace, Idaho, licensed in Idaho (D1832) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1700932704
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameWAYNE L. JURKOVICHCredential: DDS
Location Address611 BANK STWallace, ID 83873-2226
Mailing Address611 Bank StWallace, ID 83873-2226 · (208) 556-8171 · Fax (208) 556-8171
Phone(208) 556-8171
Fax(208) 556-8171
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1700932704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D1832
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.
611 BANK ST, Wallace, ID 83873
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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 Wayne Jurkovich's NPI number?

The NPI number for Wayne Jurkovich is 1700932704. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Wayne Jurkovich located?

Wayne Jurkovich practices at 611 Bank St, Wallace, ID 83873. The listed phone number is (208) 556-8171.

What is Wayne Jurkovich's specialty?

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

When was this NPI record last updated?

The NPPES record for Wayne Jurkovich was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.