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Id Specialty Dental Services, PLLC — NPI 1457944167, Kuna, ID | NPI Central

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NPI 1457944167

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Id Specialty Dental Services, PLLC

NPI 1457944167 · Orthodontics and Dentofacial Orthopedics Dentistry · Kuna, ID

Provider details

NPI number: 1457944167
Entity type: Organization
Primary specialty: Orthodontics and Dentofacial Orthopedics DentistryDental Providers
Organization subpart: No
Authorized official: Charlotte Dasch, Director of Operations(504) 638-0303

Specialties & taxonomies

Orthodontics and Dentofacial Orthopedics DentistryPrimary1223X0400X
Dental Providers
Dentist122300000X
Dental Providers
Oral and Maxillofacial Pathology Dentistry1223P0106X
Dental Providers
Pediatric Dentistry1223P0221X
Dental Providers

Practice location

1327 N Meridian Rd Ste 40

Kuna, ID 83634-1761

Phone: (208) 898-0000

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

401 Church St Ste 1400

Nashville, TN 37219-2214

Other names (DBA / former)

Other name: Specialty Dental Brands

Registry dates

Enumerated: 2021-02-12
Last updated: 2021-02-12
Certified: 2021-02-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.