NPI age
5 years
Enumerated 2021-02-12
● Active Type 2 · Organization
Id Specialty Dental Services, Pllc
Id Specialty Dental Services, Pllc is 1 of 135 dentist organizations in Idaho.
Primary specialty
Dentist
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dasch
Director Of Operations
Last NPPES update
2021-02-12
Source: monthly bulk 2026-05
How this organization compares
Across 135 active dentist providers in Idaho.
NPI age
5 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 17% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-02Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1327 N Meridian Rd Ste 40
Kuna, ID 836341761
Mailing address
401 Church St Ste 1400
Nashville, TN 372192214
Authorized official
Charlotte Dasch
Director Of Operations
📞 5046380303
Specialties
-
Dentist PrimaryThat area of dentistry 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...
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
-
DentistThe specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and...
-
DentistAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Specialty Dental Brands
Practice context
Single-site organization. Only one practice location on file.
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