Identistry PLLC
Identistry PLLC is a Dental Clinic/Center in Homedale, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 S Main StHomedale, ID 83628-3415
Phone: (208) 869-2243
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1477144038 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jared Martin — Ceo · (208) 869-2243 |
| NPI enumerated | January 27, 2021 |
| Last updated in NPPES | May 27, 2026 |
| Certification date | May 27, 2026 |
| Mailing address | 115 S Main St, Homedale, ID 83628-3415 |