P Praxis·MD
● Active Type 2 · Organization

Id Sds II Pllc

Dentist·Pocatello, ID· NPI 1861265647 · Enumerated 2023 · 2 years on NPI
Id Sds II Pllc is 1 of 135 dentist organizations in Idaho.
NPI age
2 years
Enumerated 2023-11-02
Primary specialty
Dentist
Practice locations
8
7 secondary on file
Status
Active
No deactivations on record
Authorized official
Vial
Direc Of Cred And Prov Rel
Last NPPES update
2025-03-05
Source: monthly bulk 2026-05

How this organization compares

Across 135 active dentist providers in Idaho.

NPI age
2 years
↓ 16 yr below median
Practice locations
8
7 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-11Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
625 E Alameda Rd
Pocatello, ID 832013622
📞 2082370005
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 372091442
📞 6156780759

Additional practice locations

7 secondary locations on file with NPPES.

Location 2
1541 S Timesquare Ln
Boise, ID 837098266
📞 2083217006
Location 3
371 E Chubbuck Rd Ste 2
Chubbuck, ID 832021817
📞 2082370005
Location 4
309 S. 3rd St. W
Soda Springs, ID 83276
📞 2082370005
Location 5
309 S. 3rd St. W
Soda Springs, ID 83276
📞 2082370005
Location 6
1169 Parkway Dr
Blackfoot, ID 832211652
📞 2082370005
Location 7
150 S Main St Apt 16
Malad City, ID 832521405
📞 2082370005
Location 8
450 E State St
Eagle, ID 836165030
📞 2089392311

Authorized official

Charlotte E Vial
Direc Of Cred And Prov Rel
📞 6156380303

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    That 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...
    taxonomy 1223X0400X

Other names on file (3)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Treasure Valley Orthodontics
    Type code 3 recorded 2025-03-05
  • Idaho Orthodontics
    Type code 3 recorded 2025-03-03
  • Treasure Valley Orthodontics
    Type code 3 recorded 2025-03-03

Practice context

Multi-provider organization. 5 individual providers on file at this primary address. Plus 7 secondary practice locations.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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