Rufus O. Van Dyke, D.d.s., M.cl.d
Orthodontics and Dentofacial Clinic
1455 Bench Rd, Suite A, Pocatello
Idaho, 83201-5083
208-237-3330 Maps & DirectionsRufus O. Van Dyke, D.d.s., M.cl.d is a Orthodontics and Dentofacial Clinic in Pocatello, Idaho. It is located at 1455 Bench Rd, Suite A, Pocatello, ID and its contact number is 208-237-3330. The authorized person for Rufus O. Van Dyke, D.d.s., M.cl.d is Tracy Van Dyke
who is Office Manager of the clinic and their contact number is 208-237-3330. The primary license number for Rufus O. Van Dyke, D.d.s., M.cl.d is D-3206-OR (Orthodontics and Dentofacial Orthopedics) in Idaho.
Rufus O. Van Dyke, D.d.s., M.cl.d 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:
Rufus O. Van Dyke, D.d.s., M.cl.d Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Rufus O. Van Dyke, D.d.s., M.cl.d |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 1455 Bench Rd, Suite A, Pocatello,
Idaho, 83201-5083 |
| Phone: | 208-237-3330 |
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: | Tracy Van Dyke |
| Position: | Office Manager |
| Contact Number: | 208-237-3330 |
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 Rufus O. Van Dyke, D.d.s., M.cl.d clinic are as mentioned below.
| NPI Number: | 1487802096 |
| NPI Enumeration Date: | 08 Sep, 2008 |
| NPI Last Update On: | 08 Sep, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rufus O. Van Dyke, D.d.s., M.cl.d are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | D-3206-OR | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9211318 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Rufus O. Van Dyke, D.d.s., M.cl.d
1455 Bench Rd, Suite A
Pocatello, Idaho |
| Zip: | 83201-5083 |
| Phone Number: | -- |
Patients can reach Rufus O. Van Dyke, D.d.s., M.cl.d at
1455 Bench Rd, Suite A, Pocatello, Idaho or can
call to book an appointment on 208-237-3330.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.