Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FACIAL ORAL AND DENTAL IMPLANT SURGERY ASSOCIATES, INC.
Active OrganizationFACIAL ORAL AND DENTAL IMPLANT SURGERY ASSOCIATES, INC. is a Oral & Maxillofacial Surgery organization located in LEWISTON, Idaho. NPI 1003060591 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LEWISTON, ID
Registration Details
- NPI Number
- 1003060591
- Provider Type
- Organization
- NPI Issued
- Nov 10, 2008 (17.571086072307 yrs)
- Last Updated
- Apr 14, 2011
- License
-
D-4057 (ID)
Practice Information
- Address
-
3326 4TH ST STE 2LEWISTON, ID, 835014455Browse ID providers · Browse ZIP 83501
- Phone
- 2087431640
- Fax
- 2087431643
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.