JEREMY C WIGGINS DDS
NPI 1912916461
Dentist - Pediatric Dentistry in Lewiston, ID

Active since August 05, 2006
3326 4TH ST STE 4, LEWISTON, ID 83501(208) 743-2505(208) 746-6395 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy C Wiggins Dds NPPES

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

JEREMY C WIGGINS DDS (NPI 1912916461) is an individual pediatric dentistry provider in Lewiston, Idaho, licensed in Idaho (D-3494) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1912916461
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJEREMY C WIGGINSCredential: DDS
Location Address3326 4TH ST STE 4Lewiston, ID 83501-4455
Mailing Address3326 4th St Ste 4Lewiston, ID 83501-4455 · (208) 743-2505 · Fax (208) 746-6395
Fax(208) 746-6395
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateDecember 2, 2010
NPI 1912916461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in ID · D-3494
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3326 4TH ST STE 4, Lewiston, ID 83501

Other Identifiers 2

Medicaid806332400ID
Medicaid5039532WA

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
3326 4TH ST STE 4
LEWISTON, ID 83501

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 Jeremy Wiggins's NPI number?

The NPI number for Jeremy Wiggins is 1912916461. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Jeremy Wiggins located?

Jeremy Wiggins practices at 3326 4th St Ste 4, Lewiston, ID 83501. The listed phone number is (208) 743-2505.

What is Jeremy Wiggins's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jeremy Wiggins was last updated on December 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.