Organization · Type 2 NPI

Elison Orthodontics PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID

NPI number 1740215870 Active

Practice location

3357 Merlin Dr
Idaho Falls, ID 83404-7405

Call (208) 522-9600 Map

Fax (208) 522-9799

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD1702 OR (ID)

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 1740215870

Elison Orthodontics PLLC's National Provider Identifier is 1740215870, issued on Jul 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 22, 2020.