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

CANYON COUNTY ORAL MAXILLOFACIAL SURGERY, INC

Active Organization

CANYON COUNTY ORAL MAXILLOFACIAL SURGERY, INC is a Orthodontics & Dentofacial Orthopedics organization located in CALDWELL, Idaho. NPI 1710184783 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · CALDWELL, ID

Registration Details

NPI Number
1710184783
Provider Type
Organization
NPI Issued
Jul 2, 2007 (19.151788073122 yrs)
Last Updated
Jul 10, 2007
License
D3848OS (ID)

Practice Information

Address
4121 CLOCK TOWER AVE
CALDWELL, ID, 836075006
Browse ID providers · Browse ZIP 83607
Phone
2084597800
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.