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DR. COURTNEY MATTHEW JACKSON D.D.S.
NPI 1972864825
Dentist - Pediatric Dentistry in Rexburg, ID

Active since June 06, 2012
859 S YELLOWSTONE HWY STE 1202, REXBURG, ID 83440(208) 552-5439(208) 552-5440 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Courtney Matthew Jackson D.d.s. NPPES

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

DR. COURTNEY MATTHEW JACKSON D.D.S. (NPI 1972864825) is an individual pediatric dentistry provider in Rexburg, Idaho, licensed in Idaho (D-4655-PD) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1972864825
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. COURTNEY MATTHEW JACKSONCredential: D.D.S.
Location Address859 S YELLOWSTONE HWY STE 1202Rexburg, ID 83440-6201
Mailing Address859 S Yellowstone Hwy Ste 1202Rexburg, ID 83440-6201 · (208) 552-5439 · Fax (208) 552-5440
Phone(208) 552-5439
Fax(208) 552-5440
Sole ProprietorNo
Enumeration DateJune 6, 2012
Last NPPES UpdateFebruary 3, 2016
✔ NPI 1972864825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in ID · D-4655-PD✔ Licensed in WY · 1433
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.
859 S YELLOWSTONE HWY STE 1202, Rexburg, ID 83440
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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 Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

NIGHT BOAT PLLC
Dentist (Pediatric Dentistry)
859 S YELLOWSTONE HWY STE 1202
REXBURG, ID 83440
Madison County (208) 552-5439

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 Courtney Jackson's NPI number?

The NPI number for Courtney Jackson is 1972864825. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Courtney Jackson located?

Courtney Jackson practices at 859 S Yellowstone Hwy Ste 1202, Rexburg, ID 83440. The listed phone number is (208) 552-5439.

What is Courtney Jackson's specialty?

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

What insurance does Courtney Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Courtney Jackson 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 Courtney Jackson was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.