RUSSELL GUYMON ORTHODONTICS, PA
NPI 1194097402
Dentist - Orthodontics and Dentofacial Orthopedics in Idaho Falls, ID

Active since February 01, 2012
333 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 529-3500 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Guymon Orthodontics, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL GUYMON ORTHODONTICS, PA (NPI 1194097402) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Idaho Falls, Idaho and active in the NPI registry since February 2012. The organization lists Russell J Guymon, Owner/orthodontist, as its authorized official.

NPPES Registry Identity

NPI1194097402
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameRUSSELL GUYMON ORTHODONTICS, PA
Location Address333 S WOODRUFF AVEIdaho Falls, ID 83401-4322
Mailing Address333 S Woodruff AveIdaho Falls, ID 83401-4322 · (208) 529-3500
Organization SubpartNo
Authorized OfficialRussell J GuymonOwner/orthodontist · (208) 529-3500
Enumeration DateFebruary 1, 2012
NPI 1194097402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in ID · D-4402-OR
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
333 S WOODRUFF AVE, Idaho Falls, ID 83401

Other Identifiers 1

Medicaid10584378285ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Dentist
333 S WOODRUFF AVE, SUITE F
IDAHO FALLS, ID 83401
Dentist
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Dentist
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Dentist (General Practice)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Dentist (Oral and Maxillofacial Pathology)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Chiropractor
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Family Medicine
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Guymon Orthodontics, PA's NPI number?

The NPI number for Russell Guymon Orthodontics, PA is 1194097402. It was assigned to this organization in the NPPES registry on February 1, 2012.

Where is Russell Guymon Orthodontics, PA located?

Russell Guymon Orthodontics, PA is located at 333 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 529-3500.

What is Russell Guymon Orthodontics, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Russell Guymon Orthodontics, PA was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.