RUFUS O. VAN DYKE, D.D.S., M.CL.D
NPI 1487802096
Dentist - Orthodontics and Dentofacial Orthopedics in Pocatello, ID

Active since September 08, 2008
1455 BENCH RD, SUITE A, POCATELLO, ID 83201(208) 237-3330 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rufus O. Van Dyke, D.d.s., M.cl.d NPPES

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

RUFUS O. VAN DYKE, D.D.S., M.CL.D (NPI 1487802096) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Pocatello, Idaho and active in the NPI registry since September 2008. The organization lists Tracy Van Dyke, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487802096
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameRUFUS O. VAN DYKE, D.D.S., M.CL.D
Location Address1455 BENCH RD, SUITE APocatello, ID 83201-5083
Mailing Address1455 Bench Rd, Suite APocatello, ID 83201-5083
Organization SubpartNo
Authorized OfficialTracy Van DykeOffice Manager · (208) 237-3330
Enumeration DateSeptember 8, 2008
NPI 1487802096 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-3206-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.
1455 BENCH RD, Pocatello, ID 83201

Other Identifiers 1

Medicaid9211318ID

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

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

Podiatrist
1455 BENCH RD, SUITE B
POCATELLO, ID 83201

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 Rufus O. Van Dyke, D.D.S., M.Cl.D's NPI number?

The NPI number for Rufus O. Van Dyke, D.D.S., M.Cl.D is 1487802096. It was assigned to this organization in the NPPES registry on September 8, 2008.

Where is Rufus O. Van Dyke, D.D.S., M.Cl.D located?

Rufus O. Van Dyke, D.D.S., M.Cl.D is located at 1455 Bench Rd Suite A, Pocatello, ID 83201. The listed phone number is (208) 237-3330.

What is Rufus O. Van Dyke, D.D.S., M.Cl.D'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 Rufus O. Van Dyke, D.D.S., M.Cl.D was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.