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Idaho Pediatric Dentistry
Orthodontics and Dentofacial Orthopedic Dentist in Nampa, Idaho
NPI 1467697177

Idaho Pediatric Dentistry is a Orthodontics and Dentofacial Orthopedic Dentist based in Nampa, ID and is specialized in Orthodontics and Dentofacial Orthopedics. Idaho Pediatric Dentistry practices in Nampa, ID. The NPI Number for Idaho Pediatric Dentistry is 1467697177 and holds a License No. D3936 (Idaho).

The current practice location address for Idaho Pediatric Dentistry is 4401 E Flamingo Ave, Nampa, ID and can be reached out via phone at 208-461-5459 and via fax at 208-461-6023. You can also correspond with Idaho Pediatric Dentistry through the mailing address at 4401 E FLAMINGO AVE, NAMPA, ID - 83687-3113 (mailing address contact number: 208-461-5459).

Location: 4401 E Flamingo Ave, Nampa, ID, 83687-3113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467697177
Provider Name
Idaho Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
4401 E Flamingo Ave, Nampa, ID, 83687-3113
Phone Number
208-461-5459
Fax Number
208-461-6023
Provider Enumeration Date
12/09/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807511400 05 ID
808185200 05 ID
institution
Provider Business Practice Location Address Details
Address
4401 E Flamingo Ave
City
Nampa
State
Idaho
Zip
83687-3113
Phone Number
208-461-5459
Fax Number
208-461-6023
person
Provider Business Mailing Address Details
Address
4401 E Flamingo Ave
City
Nampa
State
Idaho
Zip
83687-3113
Phone Number
208-461-5459
Fax Number
208-461-6023
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D3908 (Idaho)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
D3936 (Idaho)
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.
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