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TETON OMS
NPI 1336036474
Oral & Maxillofacial Surgery in Idaho Falls, ID

Active since June 20, 2025
780 BRIDGEPORT DR, IDAHO FALLS, ID 83402(208) 932-4600(208) 932-4601 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2026, Jul 2, 2025, Jun 20, 2025 (3 updates tracked since 2025).

About Teton Oms NPPES

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

TETON OMS (NPI 1336036474), doing business as Snake River Surgical, is a healthcare organization registered as an oral & maxillofacial surgery in Idaho Falls, Idaho and active in the NPI registry since June 2025. The organization maintains a secondary practice location in Rexburg and lists Makell Clay, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1336036474
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameTETON OMS
Location Address780 BRIDGEPORT DRIdaho Falls, ID 83402-3370
Mailing Address780 Bridgeport DrIdaho Falls, ID 83402-3370 · (208) 932-4600 · Fax (208) 932-4601
Phone(208) 932-4600
Fax(208) 932-4601
Organization SubpartNo
Authorized OfficialMakell ClayPractice Manager · (208) 932-4600
Enumeration DateJune 20, 2025
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1336036474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X
780 BRIDGEPORT DR, Idaho Falls, ID 83402
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Other Names 1

Doing Business AsSnake River Surgical

Secondary Practice Location 1

Location 1360 E Main StRexburg, ID 83440-2015 · Phone (208) 932-4600 · Fax (208) 932-4601

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 Teton Oms's NPI number?

The NPI number for Teton Oms is 1336036474. It was assigned to this organization in the NPPES registry on June 20, 2025. The provider is doing business as Snake River Surgical.

Where is Teton Oms located?

Teton Oms is located at 780 Bridgeport Dr, Idaho Falls, ID 83402. The listed phone number is (208) 932-4600.

What is Teton Oms's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Teton Oms was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.