NPI age
15 years
Enumerated 2010-08-20
● Active
Type 1 · Individual
DR. Jacob Vaughn Liljenquist, DMD
Liljenquist is 1 of 69 dentist providers in Pocatello and 1 of 1099 in Idaho.
Primary specialty
Dentist
Plus 3 subspecialties
Licensed in
UT, WA, ID
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1099 active dentist providers in Idaho.
NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
2
In the 12% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-08Enumerated in NPPES
2010
2026
Where they practice
Practice location
1000 N 8th Ave
Pocatello, ID 832015757
Mailing address
9435 Castle Oaks Dr
Fountain, CO 808174517
Specialties
-
Dentist PrimaryA 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.
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
-
DentistThe science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. ...
Practice context
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.