Id Specialty Dental Services, Pllc
Orthodontics and Dentofacial Clinic
625 E Alameda Rd, Pocatello
Idaho, 83201-3622
208-237-0005 Maps & DirectionsId Specialty Dental Services, Pllc is a Orthodontics and Dentofacial Clinic in Pocatello, Idaho. This organization is also known as sub part of Id Specialty Dental Services, Pllc. It is located at 625 E Alameda Rd, Pocatello, ID and its contact number is 208-237-0005. The authorized person for Id Specialty Dental Services, Pllc is Charlotte Dasch
who is Director Of Cred And Prov Rel of the clinic and their contact number is 504-638-0303. Other organizations associated with this clinic are Id Specialty Dental Services, Pllc, Southeast Idaho Orthodontics, Pllc, Id Sds Ii Pllc,
Id Specialty Dental Services, Pllc Clinic is 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.
Complete Clinic Profile:
Id Specialty Dental Services, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Id Specialty Dental Services, Pllc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 625 E Alameda Rd, Pocatello, Idaho, 83201-3622 |
| Phone: | 208-237-0005 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Charlotte Dasch |
| Position: | Director Of Cred And Prov Rel |
| Contact Number: | 504-638-0303 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Id Specialty Dental Services, Pllc clinic are as mentioned below.
| NPI Number: | 1013757830 |
| Parent Organization: | Id Specialty Dental Services, Pllc |
| NPI Enumeration Date: | 29 May, 2024 |
| NPI Last Update On: | 29 May, 2024 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Id Specialty Dental Services, Pllc | Orthodontics and Dentofacial Orthopedics | 1013757830 |
| Southeast Idaho Orthodontics, Pllc | Orthodontics and Dentofacial Orthopedics | 1508080599 |
| Id Sds Ii Pllc | Orthodontics and Dentofacial Orthopedics | 1861265647 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Id Specialty Dental Services, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Id Specialty Dental Services, Pllc 1610 54th Ave N Ste 205, Nashville, Tennessee |
| Zip: | 37209-1442 |
| Phone Number: | 615-678-0759 |
Patients can reach Id Specialty Dental Services, Pllc at
625 E Alameda Rd, Pocatello, Idaho or can
call to book an appointment on 208-237-0005.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.