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

BOISE ORAL AND MAXILLOFACIAL SURGERY

Active Organization

BOISE ORAL AND MAXILLOFACIAL SURGERY is a Oral & Maxillofacial Surgery organization located in BOISE, Idaho. NPI 1699949750 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · BOISE, ID

Registration Details

NPI Number
1699949750
Provider Type
Organization
NPI Issued
Apr 18, 2008 (18.135700845453 yrs)
Last Updated
Apr 18, 2008
License
D-3407 (ID)

Practice Information

Address
6363 W EMERALD ST
SUITE 103
BOISE, ID, 837048783
Browse ID providers · Browse ZIP 83704
Phone
2083764550
Fax
2083764552
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.