Southeast Idaho Orthodontics, PLLC
Southeast Idaho Orthodontics, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Pocatello, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
625 E Alameda RdPocatello, ID 83201-3622
Phone: (208) 237-0005
Fax: (208) 237-7982
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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 number | 1508080599 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Johnson — Owner · (208) 237-0005 |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 625 E Alameda Rd, Pocatello, ID 83201-3622 |
Other providers in Pocatello
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Jeffrey T McMinn, DMD
625 E Alameda Rd, Pocatello, ID 83201-3622 · (208) 237-0005
-
Dr. Robert Glenn McMinn, DDS, MSD
1133 Call Creek Dr, Pocatello, ID 83201 · (208) 232-0464
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Michael G. Summers DDS, MS, PA
1133 Call Crk Ste B, Pocatello, ID 83202 · (208) 232-0464
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Rufus O. Van Dyke, DDS, M Cl D
1455 Bench Rd Ste A, Pocatello, ID 83201-5083 · (208) 237-3330
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Dr. Michael G. Summers, DDS, MS
1133 Call Creek Dr, Pocatello, ID 83201-3000 · (208) 232-0464
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Dr. Rufus Van Dyke III, DDS, MCLD
1501 Bench Rd, Pocatello, ID 83201-2443 · (208) 237-3330