Ikdo Fruitland Llc is a Orthodontics and Dentofacial Clinic in Fruitland, Idaho. It is located at 1619 N Whitley Dr, Fruitland, ID and its contact number is 208-452-4444. The authorized person for Ikdo Fruitland Llc is Dr. Michael D Payne
who is President of the clinic and their contact number is 208-371-4445.
Ikdo Fruitland Llc 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:
Ikdo Fruitland Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ikdo Fruitland Llc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 1619 N Whitley Dr, Fruitland,
Idaho, 83619-2162 |
| Phone: | 208-452-4444 |
| Fax: | 208-452-3322 |
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: | Dr. Michael D Payne |
| Position: | President |
| Contact Number: | 208-371-4445 |
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 Ikdo Fruitland Llc clinic are as mentioned below.
| NPI Number: | 1184108706 |
| NPI Enumeration Date: | 19 Sep, 2018 |
| NPI Last Update On: | 16 Apr, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ikdo Fruitland Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ikdo Fruitland Llc
3289 N Towerbridge Way,
Meridian, Idaho |
| Zip: | 83646-8347 |
| Phone Number: | 208-884-4466 |
| Fax Number: | -- |
Patients can reach Ikdo Fruitland Llc at
1619 N Whitley Dr, Fruitland, Idaho or can
call to book an appointment on 208-452-4444.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.