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

Id Specialty Dental Services, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1013757830

Id Specialty Dental Services, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Pocatello, Idaho. 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

625 E Alameda Rd
Pocatello, ID 83201-3622
Phone: (208) 237-0005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1013757830
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationId Specialty Dental Services, PLLC
Authorized official Charlotte Dasch — Director Of Cred And Prov Rel · (504) 638-0303
Other names Idaho Orthodontics
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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