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Southeast Idaho Orthodontics, Pllc
Orthodontics and Dentofacial Orthopedic Dentist in Pocatello, Idaho
NPI 1508080599

Southeast Idaho Orthodontics, Pllc is a Orthodontics and Dentofacial Orthopedic Dentist based in Pocatello, ID and is specialized in Orthodontics and Dentofacial Orthopedics. Southeast Idaho Orthodontics, Pllc practices in Pocatello, ID. The NPI Number for Southeast Idaho Orthodontics, Pllc is 1508080599 and holds a License No. (Idaho).

The current practice location address for Southeast Idaho Orthodontics, Pllc is 625 E Alameda Rd, Pocatello, ID and can be reached out via phone at 208-237-0005 and via fax at 208-237-7982.

Location: 625 E Alameda Rd, Pocatello, ID, 83201-3622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508080599
Provider Name
Southeast Idaho Orthodontics, Pllc
Credential
Provider Entity Type
Organization
Address
625 E Alameda Rd, Pocatello, ID, 83201-3622
Phone Number
208-237-0005
Fax Number
208-237-7982
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8042938 05 ID
institution
Provider Business Practice Location Address Details
Address
625 E Alameda Rd
City
Pocatello
State
Idaho
Zip
83201-3622
Phone Number
208-237-0005
Fax Number
208-237-7982
person
Provider Business Mailing Address Details
Address
625 E Alameda Rd
City
Pocatello
State
Idaho
Zip
83201-3622
Phone Number
208-237-0005
Fax Number
208-237-7982
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
()
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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