IDAHO CENTER FOR ORAL AND FACIAL SURGERY
NPI 1558675298
Clinic/Center - Oral and Maxillofacial Surgery in Pocatello, ID

Active since August 05, 2010
177 VISTA DR, POCATELLO, ID 83201(208) 232-0232(208) 232-2044 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Idaho Center For Oral And Facial Surgery NPPES

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

IDAHO CENTER FOR ORAL AND FACIAL SURGERY (NPI 1558675298) is a healthcare organization registered as an oral and maxillofacial surgery in Pocatello, Idaho and active in the NPI registry since August 2010. The organization lists Jeffrey C Dabell, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1558675298
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameIDAHO CENTER FOR ORAL AND FACIAL SURGERY
Location Address177 VISTA DRPocatello, ID 83201-5824
Mailing Address177 Vista DrPocatello, ID 83201-5824 · (208) 232-0232 · Fax (208) 232-2044
Fax(208) 232-2044
Organization SubpartNo
Authorized OfficialJeffrey C DabellSurgeon · (208) 232-0232
Enumeration DateAugust 5, 2010
Last NPPES UpdateNovember 30, 2010
NPI 1558675298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License Licensed in ID · D-4276-OS
Definition

An oral and maxillofacial surgery clinic or center 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.

177 VISTA DR, Pocatello, ID 83201

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558675298, enumerated as an "organization" on August 05, 2010.

The provider is located at 177 VISTA DR POCATELLO, ID 83201 and the phone number is (208) 232-0232.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.