Doctor profile · Federal record
Dr. Courtney Jackson, D.D.S.
Pediatric Dentist · Pediatric Dentist · Rexburg, ID
- NPI 1972864825
- 14 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
859 S Yellowstone Hwy Ste 1202
Rexburg, ID 834406201
(208) 552-5439
fax (208) 552-5440
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- February 3, 2016
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (2)
- Idaho #D-4655-PD · Wyoming #1433
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972864825. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$295
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Benco Dental Supply Co. | 1 | $295.20 |
By nature of payment
Frequently asked questions
What is Dr. Courtney Jackson's medical specialty?
Dr. Courtney Jackson practices Pediatric Dentist in Rexburg, ID.
Where does Dr. Courtney Jackson practice?
Dr. Courtney Jackson practices at 859 S Yellowstone Hwy Ste 1202, Rexburg, ID 834406201. Office phone: 2085525439.
What is Dr. Courtney Jackson's NPI?
Dr. Courtney Jackson's National Provider Identifier (NPI) is 1972864825, issued by NPPES.