NPI age
13 years
Enumerated 2012-06-06
● Active
Type 1 · Individual
DR. Courtney Matthew Jackson, D.D.S.
Jackson is 1 of 5 dentist providers in Rexburg and 1 of 114 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, WY
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-02-03
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
13 years
≈ at median (13 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
859 S Yellowstone Hwy Ste 1202
Rexburg, ID 834406201
Mailing address
859 S Yellowstone Hwy Ste 1202
Rexburg, ID 834406201
Specialties
-
Dentist PrimaryAn 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.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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