Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDAHO ORAL SURGERY PLLC
Active OrganizationIDAHO ORAL SURGERY PLLC is a Exclusive Provider Organization organization located in FRUITLAND, Idaho. NPI 1912172958 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · FRUITLAND, ID
Registration Details
- NPI Number
- 1912172958
- Provider Type
- Organization
- NPI Issued
- Apr 29, 2008 (18.312089180657 yrs)
- Last Updated
- Apr 19, 2010
- License
-
D3949OS (ID)
Practice Information
- Address
-
1820 N WHITLEY DRFRUITLAND, ID, 836192163Browse ID providers · Browse ZIP 83619
- Phone
- 2084524808
- Fax
- 2084526617
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
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.