ID SDS II PLLC
NPI 1538909379
Dentist - Orthodontics and Dentofacial Orthopedics in Boise, ID

Active since May 29, 2024
1541 S TIMESQUARE LN, BOISE, ID 83709(208) 321-7006 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Id Sds Ii Pllc NPPES

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

ID SDS II PLLC (NPI 1538909379), doing business as Super Smiles Orthodontics, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Boise, Idaho and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Eagle and lists Charlotte V Dasch, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1538909379
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameID SDS II PLLC
Location Address1541 S TIMESQUARE LNBoise, ID 83709-8266
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759
Organization SubpartYesParent: Id Specialty Dental Services, Pllc
Authorized OfficialCharlotte V DaschDirector Of Credentialing · (504) 638-0303
Enumeration DateMay 29, 2024
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
NPI 1538909379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
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.
1541 S TIMESQUARE LN, Boise, ID 83709

Other Names 1

Doing Business AsSuper Smiles Orthodontics

Secondary Practice Location 1

Location 1450 E State St Ste 100Eagle, ID 83616-5030 · Phone (208) 393-2311

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Id Sds II PLLC's NPI number?

The NPI number for Id Sds II PLLC is 1538909379. It was assigned to this organization in the NPPES registry on May 29, 2024. The provider is doing business as Super Smiles Orthodontics.

Where is Id Sds II PLLC located?

Id Sds II PLLC is located at 1541 S Timesquare Ln, Boise, ID 83709. The listed phone number is (208) 321-7006.

What is Id Sds II 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 Id Sds II PLLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.