PARKCENTER ORAL AND MAXILLOFACIAL SURGERY
NPI 1811670631
Dentist - Oral and Maxillofacial Surgery in Boise, ID

Q: What is Parkcenter 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 August 09, 2023

3190 E BARBER VALLEY DR, BOISE, ID 83716(208) 715-5219(208) 504-2771 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2023, Aug 30, 2023, Aug 9, 2023 (3 updates tracked since 2023).

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About Parkcenter Oral And Maxillofacial Surgery NPPES

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

PARKCENTER ORAL AND MAXILLOFACIAL SURGERY (NPI 1811670631) is a healthcare organization registered as an oral and maxillofacial surgery in Boise, Idaho and active in the NPI registry since August 2023. The organization lists Stuart J Rupp, Owner, as its authorized official.

NPPES Registry Identity

NPI1811670631

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NamePARKCENTER ORAL AND MAXILLOFACIAL SURGERY

Location Address3190 E BARBER VALLEY DRBoise, ID 83716

Mailing Address3190 E Barber Valley DrBoise, ID 83716 · (208) 715-5219 · Fax (208) 504-2771

Phone(208) 715-5219

Fax(208) 504-2771

Organization SubpartNo

Authorized OfficialStuart J RuppOwner · (208) 553-6813

Enumeration DateAugust 9, 2023

Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration

NPPES CertifiedOctober 20, 2023

✔ NPI 1811670631 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.

3190 E BARBER VALLEY DR, Boise, ID 83716

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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 2

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

ALPINE SURGICAL ARTS SOUTHEAST BOISE, LLC

Clinic/Center (Oral and Maxillofacial Surgery)

3190 E BARBER VALLEY DR
BOISE, ID 83716

Elmore County (208) 344-9115

NORTHWEST ORAL SURGERY LLC

Clinic/Center (Oral and Maxillofacial Surgery)

3190 E BARBER VALLEY DR
BOISE, ID 83716

Elmore County (208) 344-9115

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 Parkcenter Oral And Maxillofacial Surgery's NPI number?

The NPI number for Parkcenter Oral And Maxillofacial Surgery is 1811670631. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Parkcenter Oral And Maxillofacial Surgery located?

Parkcenter Oral And Maxillofacial Surgery is located at 3190 E Barber Valley Dr, Boise, ID 83716. The listed phone number is (208) 715-5219.

What is Parkcenter 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 Parkcenter Oral And Maxillofacial Surgery was last updated on October 20, 2023. 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.