OrganizationActive
Idaho Orthodontic-Burley
NPI 1225379654 · Orthodontics and Dentofacial Orthopedics Dentistry · Burley, ID
Provider details
- NPI number
- 1225379654
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Mcminn, Orthodontist(208) 678-2738
Specialties & taxonomies
Dental Providers
Practice location
1408 Pomerelle Ave
Suite E
Burley, ID 83318-2067
Phone: (208) 678-2738
Fax: (208) 378-2731
Approximate (ZIP-level) locationGet directions
Mailing address
1408 Pomerelle Ave
Burley, ID 83318-2067
Registry dates
- Enumerated
- 2013-03-11
- Last updated
- 2013-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.