Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EAGLE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
Active OrganizationEAGLE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC is a Oral & Maxillofacial Surgery organization located in EAGLE, Idaho. NPI 1780074864 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · EAGLE, ID
Registration Details
- NPI Number
- 1780074864
- Provider Type
- Organization
- NPI Issued
- Jan 28, 2015 (11.568253823008 yrs)
- Last Updated
- Jan 28, 2015
- License
-
D-4617-OS (ID)
Practice Information
- Address
-
197 W STATE STEAGLE, ID, 836164959Browse ID providers · Browse ZIP 83616
- Phone
- 2089952865
- 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.