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

Russell Guymon Orthodontics, PA

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1194097402

Russell Guymon Orthodontics, PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 S Woodruff Ave
Idaho Falls, ID 83401-4322
Phone: (208) 529-3500
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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 · Licence D-4402-OR (ID)

Record details

NPI number1194097402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Guymon — Owner/Orthodontist · (208) 529-3500
NPI enumeratedFebruary 1, 2012
Last updated in NPPESFebruary 1, 2012
Mailing address333 S Woodruff Ave, Idaho Falls, ID 83401-4322

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