SOUTHEAST IDAHO ORTHODONTICS, PLLC
NPI 1508080599
Dentist - Orthodontics and Dentofacial Orthopedics in Pocatello, ID
About Southeast Idaho Orthodontics, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST IDAHO ORTHODONTICS, PLLC (NPI 1508080599) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Pocatello, Idaho and active in the NPI registry since April 2007. The organization lists Eric D Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POCATELLO, ID 83201
POCATELLO, ID 83201
POCATELLO, ID 83201
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 Southeast Idaho Orthodontics, PLLC's NPI number?
The NPI number for Southeast Idaho Orthodontics, PLLC is 1508080599. It was assigned to this organization in the NPPES registry on April 12, 2007.
Where is Southeast Idaho Orthodontics, PLLC located?
Southeast Idaho Orthodontics, PLLC is located at 625 E Alameda Rd, Pocatello, ID 83201. The listed phone number is (208) 237-0005.
What is Southeast Idaho Orthodontics, PLLC'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 Southeast Idaho Orthodontics, PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.