Organization · Type 2 NPI

Id Specialty Dental Services, PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Meridian, ID

NPI number 1609632710 Active

Practice location

1200 W Cherry Ln
Meridian, ID 83642-4930

Call (208) 898-9000 Map

Mailing address

1610 54th Ave N Ste 205
Nashville, TN 37209-1442

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone 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…

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About NPI 1609632710

Id Specialty Dental Services, PLLC's National Provider Identifier is 1609632710, issued on Feb 26, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Meridian, ID. The record was last updated on Mar 3, 2025.