institution
Elison Orthodontics Pllc
Orthodontics and Dentofacial Orthopedic Dentist in Idaho Falls, Idaho
NPI 1740215870

Elison Orthodontics Pllc is a Orthodontics and Dentofacial Orthopedic Dentist based in Idaho Falls, ID and is specialized in Orthodontics and Dentofacial Orthopedics. Elison Orthodontics Pllc practices in Idaho Falls, ID. The NPI Number for Elison Orthodontics Pllc is 1740215870 and holds a License No. D1702 OR (Idaho).

The current practice location address for Elison Orthodontics Pllc is 3357 Merlin Dr, Idaho Falls, ID and can be reached out via phone at 208-522-9600 and via fax at 208-522-9799.

Location: 3357 Merlin Dr, Idaho Falls, ID, 83404-7405
institution
Provider Profile Details
NPI Number
1740215870
Provider Name
Elison Orthodontics Pllc
Credential
Provider Entity Type
Organization
Address
3357 Merlin Dr, Idaho Falls, ID, 83404-7405
Phone Number
208-522-9600
Fax Number
208-522-9799
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010012467 01 ID BLUE SHIELD OF IDAHO
1634056 01 ID UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
3357 Merlin Dr
City
State
Zip
83404-7405
Phone Number
208-522-9600
Fax Number
208-522-9799
person
Provider Business Mailing Address Details
Address
3357 Merlin Dr
City
State
Zip
83404-7405
Phone Number
208-522-9600
Fax Number
208-522-9799
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
License No.
D1702 OR (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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