OrganizationActive
Bret E. Mooso D.d.s.,m.s.
NPI 1598053712 · Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID
Provider details
- NPI number
- 1598053712
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bret Mooso, Doctor(208) 522-4552
Specialties & taxonomies
Dental Providers
Practice location
1580 Elk Creek Drive
Idaho Falls, ID 83404-6269
Phone: (208) 522-4552
Approximate (ZIP-level) locationGet directions
Mailing address
1580 Elk Creek Drive
Idaho Falls, ID 83404-6269
Other names (DBA / former)
- Other name
- Mooso Orthodontics
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2011-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.