Southeast Idaho Orthodontics, Pllc is a Orthodontics and Dentofacial Clinic in Pocatello, Idaho. It is located at 625 E Alameda Rd, Pocatello, ID and its contact number is 208-237-0005. The authorized person for Southeast Idaho Orthodontics, Pllc is Dr. Eric D Johnson
who is Owner of the clinic and their contact number is 208-237-0005. Other organizations associated with this clinic are Southeast Idaho Orthodontics, Pllc, Id Sds Ii Pllc, Southeast Idaho Orthodontics, 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:
Southeast Idaho Orthodontics, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southeast Idaho Orthodontics, Pllc
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
625 E Alameda Rd, Pocatello, Idaho, 83201-3622
Phone:
208-237-0005
Fax:
208-237-7982
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. Eric D Johnson
Position:
Owner
Contact Number:
208-237-0005
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 Southeast Idaho Orthodontics, Pllc clinic are as mentioned below.
NPI Number:
1508080599
NPI Enumeration Date:
12 Apr, 2007
NPI Last Update On:
22 Aug, 2020
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
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 Southeast Idaho Orthodontics, Pllc are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
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
8042938
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:
Southeast Idaho Orthodontics, Pllc 625 E Alameda Rd, Pocatello, Idaho
Zip:
83201-3622
Phone Number:
208-237-0005
Fax Number:
208-237-7982
Patients can reach Southeast Idaho Orthodontics, Pllc at 625 E Alameda Rd, Pocatello, Idaho or can call to book an appointment on 208-237-0005. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.