Healthcare Provider Details

I. General information

NPI: 1487589255
Provider Name (Legal Business Name): WARFORD ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1067 S WELLS ST
MERIDIAN ID
83642-7997
US

IV. Provider business mailing address

784 S CLEARWATER LOOP STE B
POST FALLS ID
83854-9599
US

V. Phone/Fax

Practice location:
  • Phone: 208-261-2318
  • Fax:
Mailing address:
  • Phone: 208-417-5600
  • Fax: 208-509-4650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JOHN WARFORD III
Title or Position: OWNER
Credential: DDS. DORTHO
Phone: 701-471-7793