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FACIAL & ORAL SURGERY ASSOCIATES, INC.
NPI 1649453275
Dentist - Oral and Maxillofacial Surgery in Pocatello, ID

Active since December 05, 2007
165 N 14TH AVE, POCATELLO, ID 83201(208) 232-2807(208) 232-8118 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Facial & Oral Surgery Associates, Inc. NPPES

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

FACIAL & ORAL SURGERY ASSOCIATES, INC. (NPI 1649453275) is a healthcare organization registered as an oral and maxillofacial surgery in Pocatello, Idaho and active in the NPI registry since December 2007. The organization lists Wende Stuart, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1649453275
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFACIAL & ORAL SURGERY ASSOCIATES, INC.
Location Address165 N 14TH AVEPocatello, ID 83201-4146
Mailing AddressPo Box 6033Pocatello, ID 83205-6033 · (208) 232-2807 · Fax (208) 232-8118
Phone(208) 232-2807
Fax(208) 232-8118
Organization SubpartNo
Authorized OfficialWende StuartOffice Administrator · (208) 232-2807
Enumeration DateDecember 5, 2007
Last NPPES UpdateJune 16, 2010
✔ NPI 1649453275 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 · D3016
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.
165 N 14TH AVE, Pocatello, ID 83201
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Other Identifiers 13

Medicare PIN1910864ID
Medicaid805112100ID
Medicare PIN1376582ID
Medicare PIN1204023ID
Medicare UPING49612
Medicare PIN1140355ID
Other190005336ID · Railroad Medicare
Medicare PIN1203327ID
Medicare UPINT44220ID
Medicare UPINU32580ID
Other190009031ID · Railroad Medicare
Medicaid805112200ID
Medicaid805177600ID

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

BRENT D LEE D.D.S., M.S.
Dentist (Oral and Maxillofacial Surgery)
165 N 14TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-2807
DR. MARK ENSIO BAKER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
165 N 14TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-2807

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 Facial & Oral Surgery Associates, Inc.'s NPI number?

The NPI number for Facial & Oral Surgery Associates, Inc. is 1649453275. It was assigned to this organization in the NPPES registry on December 5, 2007.

Where is Facial & Oral Surgery Associates, Inc. located?

Facial & Oral Surgery Associates, Inc. is located at 165 N 14th Ave, Pocatello, ID 83201. The listed phone number is (208) 232-2807.

What is Facial & Oral Surgery Associates, Inc.'s specialty?

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

What insurance does Facial & Oral Surgery Associates, Inc. accept?

Health plans from UnitedHealthcare list Facial & Oral Surgery Associates, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Facial & Oral Surgery Associates, Inc. was last updated on June 16, 2010. 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.