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Dr. Courtney Matthew Jackson, D.D.S.

Pediatric Dentistry in Rexburg, ID · enumerated 2012 · practices at Night Boat Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972864825

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Registry record

Entity type Individual (Type 1)
Name Dr. Courtney Matthew Jackson
Credential D.D.S.
Sex Male
Practice address 859 S Yellowstone Hwy Ste 1202, Rexburg, ID, 83440
Phone (208) 552-5439
Fax (208) 552-5440
Enumeration date Jun 6, 2012
Last updated in NPPES Feb 3, 2016

Taxonomy & licenses

1223P0221X Pediatric Dentistry Dental Providers · License 1433 (WY) Secondary
1223P0221X Pediatric Dentistry Dental Providers · License D-4655-PD (ID) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Courtney Jackson practice?
The practice location on file with NPPES is in Rexburg, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Courtney Jackson?
The National Provider Identifier (NPI) for Courtney Jackson is 1972864825, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-03.