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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDAHO CENTER FOR ORAL AND FACIAL SURGERY

Active Organization

IDAHO CENTER FOR ORAL AND FACIAL SURGERY is a Oral and Maxillofacial Surgery Clinic organization located in POCATELLO, Idaho. NPI 1558675298 is currently active in the NPPES registry. Verify at CMS.

Oral and Maxillofacial Surgery Clinic · POCATELLO, ID

Registration Details

NPI Number
1558675298
Provider Type
Organization
NPI Issued
Aug 5, 2010 (15.842925792404 yrs)
Last Updated
Nov 30, 2010
License
D-4276-OS (ID)

Practice Information

Address
177 VISTA DR
POCATELLO, ID, 832015824
Browse ID providers · Browse ZIP 83201
Phone
2082320232
Fax
2082322044
Primary Specialty
Oral and Maxillofacial Surgery Clinic
261QS0112X
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.