Organization · Type 2 NPI
Id Specialty Dental Services, PLLC
Orthodontics and Dentofacial Orthopedics Dentistry · Kuna, ID
Practice location
1327 N Meridian Rd Ste 40
Kuna, ID 83634-1761
Mailing address
401 Church St Ste 1400
Nashville, TN 37219-2214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | None listed |
| Pediatric Dentistry | 1223P0221X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1457944167
Id Specialty Dental Services, PLLC's National Provider Identifier is 1457944167, issued on Feb 12, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kuna, ID. The record was last updated on Feb 12, 2021.