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COEUR D' ALENE ORAL SURGERY
NPI 1023398716
Dentist - Oral and Maxillofacial Surgery in Coeur D Alene, ID

Active since August 25, 2011
1027 E SHERMAN AVE, COEUR D ALENE, ID 83814(208) 667-0655(208) 667-5745 Get Directions Write a Review

NPPES record last updated: August 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coeur D' Alene Oral Surgery NPPES

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

COEUR D' ALENE ORAL SURGERY (NPI 1023398716) is a healthcare organization registered as an oral and maxillofacial surgery in Coeur D Alene, Idaho and active in the NPI registry since August 2011. The organization lists Thomas G Walsh, Owner, as its authorized official.

NPPES Registry Identity

NPI1023398716
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCOEUR D' ALENE ORAL SURGERY
Location Address1027 E SHERMAN AVECoeur D Alene, ID 83814-4152
Mailing Address1027 E Sherman AveCoeur D Alene, ID 83814-4152 · (208) 667-0655 · Fax (208) 667-5745
Phone(208) 667-0655
Fax(208) 667-5745
Organization SubpartNo
Authorized OfficialThomas G WalshOwner · (208) 667-0655
Enumeration DateAugust 25, 2011
✔ NPI 1023398716 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-1578-OS
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.

1027 E SHERMAN AVE, Coeur D Alene, ID 83814
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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

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 Coeur D' Alene Oral Surgery's NPI number?

The NPI number for Coeur D' Alene Oral Surgery is 1023398716. It was assigned to this organization in the NPPES registry on August 25, 2011.

Where is Coeur D' Alene Oral Surgery located?

Coeur D' Alene Oral Surgery is located at 1027 E Sherman Ave, Coeur D Alene, ID 83814. The listed phone number is (208) 667-0655.

What is Coeur D' Alene Oral Surgery'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 Coeur D' Alene Oral Surgery was last updated on August 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.