ID OMS SPECIALTY DENTAL SERVICES, PLLC
NPI 1467218552
Dentist - Oral and Maxillofacial Surgery in Boise, ID

Q: What is Id Oms Specialty Dental Services, PLLC's specialty?

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

Active since February 26, 2024

7910 W USTICK RD, BOISE, ID 83704(208) 322-5522 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Id Oms Specialty Dental Services, Pllc NPPES

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

ID OMS SPECIALTY DENTAL SERVICES, PLLC (NPI 1467218552), doing business as Boise Oral Surgery & Implant Center, is a healthcare organization registered as an oral and maxillofacial surgery in Boise, Idaho and active in the NPI registry since February 2024. The organization lists Charlotte Dasch, Director Of Credentialing And Pr, as its authorized official.

NPPES Registry Identity

NPI1467218552

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameID OMS SPECIALTY DENTAL SERVICES, PLLC

Location Address7910 W USTICK RDBoise, ID 83704-5850

Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759

Phone(208) 322-5522

Organization SubpartYes

Authorized OfficialCharlotte DaschDirector Of Credentialing And Pr · (615) 678-0759

Enumeration DateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1467218552 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.

7910 W USTICK RD, Boise, ID 83704

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Other Names 1

Doing Business AsBoise Oral Surgery & Implant Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

BRETT BECKER

Dentist (Oral and Maxillofacial Surgery)

7910 W USTICK RD
BOISE, ID 83704

Ada County (208) 322-5522

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 Id Oms Specialty Dental Services, PLLC's NPI number?

The NPI number for Id Oms Specialty Dental Services, PLLC is 1467218552. It was assigned to this organization in the NPPES registry on February 26, 2024. The provider is doing business as Boise Oral Surgery & Implant Center.

Where is Id Oms Specialty Dental Services, PLLC located?

Id Oms Specialty Dental Services, PLLC is located at 7910 W Ustick Rd, Boise, ID 83704. The listed phone number is (208) 322-5522.

What is Id Oms Specialty Dental Services, PLLC'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 Id Oms Specialty Dental Services, PLLC was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.