Organization
ID SDS II PLLC
Active
Organization
ID SDS II PLLC
Active
Other names
Treasure Valley Orthodontics, Idaho Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE E VIAL (DIREC OF CRED AND PROV REL)
(615) 638-0303
Entity
Organization
Contact information
Practice address
625 E ALAMEDA RD, POCATELLO, ID 83201-3622
(208) 237-0005
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
03/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up