ORAL AND FACIAL SURGERY
NPI 1003060591
Dentist - Oral and Maxillofacial Surgery in Lewiston, ID

Active since November 10, 2008
3326 4TH ST STE 2, LEWISTON, ID 83501(208) 743-1640(208) 743-1643 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oral And Facial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL AND FACIAL SURGERY (NPI 1003060591) is a healthcare organization registered as an oral and maxillofacial surgery in Lewiston, Idaho and active in the NPI registry since November 2008. The organization lists Stephen Wilford Holm, Owner, as its authorized official.

NPPES Registry Identity

NPI1003060591
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFACIAL ORAL AND DENTAL IMPLANT SURGERY ASSOCIATES, INC.
Location Address3326 4TH ST STE 2Lewiston, ID 83501-4455
Mailing Address3326 4th St Ste 2Lewiston, ID 83501-4455 · (208) 743-1640 · Fax (208) 743-1643
Fax(208) 743-1643
Organization SubpartNo
Authorized OfficialStephen Wilford HolmOwner · (208) 743-1640
Enumeration DateNovember 10, 2008
Last NPPES UpdateApril 14, 2011
NPI 1003060591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in ID · D-4057
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3326 4TH ST STE 2, Lewiston, ID 83501

Other Names 1

Doing Business AsOral And Facial Surgery

Other Identifiers 3

Other9212066ID · Idaho Smiles
Medicaid808116400ID
Medicare UPIN12000101ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
3326 4TH ST STE 2
LEWISTON, ID 83501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Facial Oral And Dental Implant Surgery Associates, Inc.'s NPI number?

The NPI number for Facial Oral And Dental Implant Surgery Associates, Inc. is 1003060591. It was assigned to this organization in the NPPES registry on November 10, 2008. The provider is doing business as Oral And Facial Surgery.

Where is Facial Oral And Dental Implant Surgery Associates, Inc. located?

Facial Oral And Dental Implant Surgery Associates, Inc. is located at 3326 4th St Ste 2, Lewiston, ID 83501. The listed phone number is (208) 743-1640.

What is Facial Oral And Dental Implant Surgery Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Facial Oral And Dental Implant Surgery Associates, Inc. was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.