Russell Guymon Orthodontics, Pa

Orthodontics and Dentofacial Clinic

 
333 S Woodruff Ave, Idaho Falls
    Idaho, 83401-4322

 208-529-3500    Maps & Directions
Russell Guymon Orthodontics, Pa is a Orthodontics and Dentofacial Clinic in Idaho Falls, Idaho. It is located at 333 S Woodruff Ave, Idaho Falls, ID and its contact number is 208-529-3500. The authorized person for Russell Guymon Orthodontics, Pa is Dr. Russell J Guymon who is Owner/orthodontist of the clinic and their contact number is 208-529-3500. Other organizations associated with this clinic are Owen Dental, Pc, Russell Guymon Orthodontics, Pa, Kevin Mudrow Dds Pllc, Vernon O. Gaffner, D.m.d., P.a., Scott M. Blake, Dds, Pc, The primary license number for Russell Guymon Orthodontics, Pa is D-4402-OR (Orthodontics and Dentofacial Orthopedics) in Idaho.
Russell Guymon Orthodontics, Pa 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:
Russell Guymon Orthodontics, Pa Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Russell Guymon Orthodontics, Pa
Specialization: Orthodontics and Dentofacial Orthopedics
Clinic Address:333 S Woodruff Ave, Idaho Falls,
Idaho, 83401-4322
Phone:208-529-3500
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. Russell J Guymon
Position: Owner/orthodontist
Contact Number: 208-529-3500
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 Russell Guymon Orthodontics, Pa clinic are as mentioned below.
NPI Number: 1194097402
NPI Enumeration Date: 01 Feb, 2012
NPI Last Update On: 01 Feb, 2012
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.
NameSpecializationNPI Number
Owen Dental, PcGeneral Practice Dentistry 1093981011
Russell Guymon Orthodontics, PaOrthodontics and Dentofacial Orthopedics 1194097402
Kevin Mudrow Dds PllcDentistry 1235565003
Vernon O. Gaffner, D.m.d., P.a.Dentistry 1295995652
Scott M. Blake, Dds, PcOral and Maxillofacial Surgery 1972779916
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Guymon Orthodontics, Pa are as mentioned below.
SpecializationLicense NumberStateStatus
Orthodontics and Dentofacial Orthopedics D-4402-ORIdahoPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
10584378285MedicaidIdaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Russell Guymon Orthodontics, Pa
333 S Woodruff Ave,
Idaho Falls, Idaho
Zip: 83401-4322
Phone Number: 208-529-3500
Patients can reach Russell Guymon Orthodontics, Pa at 333 S Woodruff Ave, Idaho Falls, Idaho or can call to book an appointment on 208-529-3500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.

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