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Id Sds II PLLC — NPI 1861265647, Pocatello, ID | NPI Central

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NPI 1861265647

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Id Sds II PLLC

NPI 1861265647 · Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID

Provider details

NPI number: 1861265647
Entity type: Organization
Primary specialty: Orthodontics and Dentofacial Orthopedics DentistryDental Providers
Organization subpart: No
Authorized official: Charlotte Vial, Direc of Cred and Prov Rel(615) 638-0303

Specialties & taxonomies

Orthodontics and Dentofacial Orthopedics DentistryPrimary1223X0400X
Dental Providers

Practice location

625 E Alameda Rd

Pocatello, ID 83201-3622

Phone: (208) 237-0005

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1610 54th Ave N Ste 205

Nashville, TN 37209-1442

Other names (DBA / former)

Doing business as: Idaho Orthodontics
Doing business as: Treasure Valley Orthodontics
Doing business as: Treasure Valley Orthodontics

Additional practice locations (7)

1169 Parkway Dr
Blackfoot, ID 83221-1652
Phone: (208) 237-0005
1541 S Timesquare Ln
Boise, ID 83709-8266
Phone: (208) 321-7006
371 E Chubbuck Rd Ste 2
Chubbuck, ID 83202-1817
Phone: (208) 237-0005
450 E State St
Eagle, ID 83616-5030
Phone: (208) 939-2311
150 S Main St Apt 16
Malad City, ID 83252-1405
Phone: (208) 237-0005
309 S. 3rd St. W
Soda Springs, ID 83276
Phone: (208) 237-0005
309 S. 3rd St. W
Soda Springs, ID 83276
Phone: (208) 237-0005

Registry dates

Enumerated: 2023-11-02
Last updated: 2025-03-05
Certified: 2025-03-03

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