IndividualActive
Jacob Jarivs, DMD, MS
NPI 1952504318 · Orthodontics and Dentofacial Orthopedics Dentistry · Boise, ID
Provider details
- NPI number
- 1952504318
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D3999-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
6000 S Quamash Way
Boise, ID 83716-5617
Phone: (208) 383-0100
Fax: (208) 321-5507
Approximate (ZIP-level) locationGet directions
Mailing address
6000 S Quamash Way
Boise, ID 83716-5617
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.