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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHEAST IDAHO ORTHODONTICS, PLLC

Active Organization

SOUTHEAST IDAHO ORTHODONTICS, PLLC is a Orthodontics organization located in POCATELLO, Idaho. NPI 1508080599 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · POCATELLO, ID

Registration Details

NPI Number
1508080599
Provider Type
Organization
NPI Issued
Apr 12, 2007 (19.368338580213 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
625 E ALAMEDA RD
POCATELLO, ID, 832013622
Browse ID providers · Browse ZIP 83201
Phone
2082370005
Fax
2082377982
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Organizations in POCATELLO, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.