Individual provider · Type 1 NPI

Matthew Scott McCoy, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID

NPI number 1750747077 Active

Practice location

732 W. Quinn Rd Adventure Orthodontics, Ste # 200
Pocatello, ID 83202

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD-4719-OR (ID)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X250300 (AK)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XD4719 (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 1750747077

Matthew Scott McCoy, DDS's National Provider Identifier is 1750747077, issued on Jan 4, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pocatello, ID. The record was last updated on Oct 14, 2026.