P Praxis·MD
● Active Type 1 · Individual

Jeremy C Wiggins, DDS

Dentist·Lewiston, ID· NPI 1912916461 · Enumerated 2006 · 19 years on NPI
Wiggins is 1 of 2 dentist providers in Lewiston and 1 of 114 in Idaho.
NPI age
19 years
Enumerated 2006-08-05
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 114 active dentist providers in Idaho.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
3326 4th St Ste 4
Lewiston, ID 835014455
📞 2087432505fax 2087466395
Mailing address
3326 4th St Ste 4
Lewiston, ID 835014455
📞 2087432505fax 2087466395

Specialties

  • Dentist Primary
    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.
    ID license #D-3494 taxonomy 1223P0221X

Identifiers

TypeValueNotes
05 (WA) 5039532
05 (ID) 806332400

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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