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

Id Sds II PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1538909379

Id Sds II PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Boise, Idaho. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1541 S Timesquare Ln
Boise, ID 83709-8266
Phone: (208) 321-7006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 E State St Ste 100, Eagle, ID 83616-5030 — (208) 393-2311

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1538909379
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationId Specialty Dental Services, PLLC
Authorized official Charlotte Dasch — Director Of Credentialing · (504) 638-0303
Other names Super Smiles Orthodontics; Super Smiles Orthodontics
NPI enumeratedMay 29, 2024
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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