ID SDS II PLLC
NPI 1538909379
Dentist - Orthodontics and Dentofacial Orthopedics in Boise, ID
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
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.