Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brett Eddis Mooso, DDS, MS, PA

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1902902208

Dr. Brett Eddis Mooso, DDS, MS, PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1410 E 17th St
Idaho Falls, ID 83404-6269
Phone: (208) 522-4552
Fax: (208) 522-4555
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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-3029-OR (ID)

Record details

NPI number1902902208
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS , PA
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 9, 2007

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