Most Relevant Information
Provider Data
| NPI Number: | 1003182668 |
| Provider Name: | JESSICA FAYE HORRICKS DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | D-4396 |
Most Important Dates
| Enumeration Date: | 03/28/2012 |
| Last Updated: | 03/28/2012 |
Provider Practice Location
6615 COMMANCHE
BONNERS FERRY
ID
83805
Practice Location Phone/Fax
| Phone: | 2082631718 |
| Fax: | 2082637739 |
Provider Mailing Location
PO BOX 2160
SANDPOINT
ID
838640908
Provider Mailing Phone/Fax
| Phone: | 2082633410 |
| Fax: |