Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Courtney Matthew Jackson, DDS

Individual provider Pediatric Dentistry · NPI 1972864825

Dr. Courtney Matthew Jackson, DDS is a Pediatric Dentistry in Rexburg, Idaho. Licensed in Idaho and Wyoming. Registered with an NPI since 2012.

Licensed in
ID, WY
In the registry since
2012
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

859 S Yellowstone Hwy Ste 1202
Rexburg, ID 83440-6201
Phone: (208) 552-5439
Fax: (208) 552-5440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D-4655-PD (ID)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 1433 (WY)

Record details

NPI number1972864825
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESFebruary 3, 2016

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