ELISON ORAL AND MAXILLOFACIAL SURGERY
NPI 1114255916
Dentist - Oral and Maxillofacial Surgery in Idaho Falls, ID

Q: What is Elison Oral And Maxillofacial Surgery's specialty?

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

Active since December 07, 2009

2588 CHANNING WAY, IDAHO FALLS, ID 83404(208) 524-3200 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elison Oral And Maxillofacial Surgery NPPES

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

ELISON ORAL AND MAXILLOFACIAL SURGERY (NPI 1114255916) is a healthcare organization registered as an oral and maxillofacial surgery in Idaho Falls, Idaho and active in the NPI registry since December 2009. The organization lists Mark Turney Elison, President, as its authorized official.

NPPES Registry Identity

NPI1114255916

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameELISON ORAL AND MAXILLOFACIAL SURGERY

Location Address2588 CHANNING WAYIdaho Falls, ID 83404-7515

Mailing Address1655 Coronado StIdaho Falls, ID 83404-7467 · (208) 529-0634

Phone(208) 524-3200

Organization SubpartNo

Authorized OfficialMark Turney ElisonPresident · (208) 524-3200

Enumeration DateDecember 7, 2009

✔ NPI 1114255916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

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.

2588 CHANNING WAY, Idaho Falls, ID 83404

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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

Other Providers at the Same Location NPPES

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

DR. LYLE KRIS MUNK DDS

Dentist

2588 CHANNING WAY
IDAHO FALLS, ID 83404

Bonneville County (208) 524-3200

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 Elison Oral And Maxillofacial Surgery's NPI number?

The NPI number for Elison Oral And Maxillofacial Surgery is 1114255916. It was assigned to this organization in the NPPES registry on December 7, 2009.

Where is Elison Oral And Maxillofacial Surgery located?

Elison Oral And Maxillofacial Surgery is located at 2588 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 524-3200.

What is Elison Oral And Maxillofacial 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 Elison Oral And Maxillofacial Surgery was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.