IDAHO ORAL SURGERY PLLC
NPI 1912172958
Exclusive Provider Organization in Fruitland, ID

Active since April 29, 2008
1820 N WHITLEY DR, FRUITLAND, ID 83619(208) 452-4808(208) 452-6617 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Oral Surgery Pllc NPPES

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

IDAHO ORAL SURGERY PLLC (NPI 1912172958), doing business as Center For Oral & Facial Surgery, is a healthcare organization registered as an exclusive provider organization in Fruitland, Idaho and active in the NPI registry since April 2008. The organization lists Ryan David Hillam, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1912172958
Entity TypeOrganization
Primary Taxonomy302F00000X
Legal Business NameIDAHO ORAL SURGERY PLLC
Location Address1820 N WHITLEY DRFruitland, ID 83619-2163
Mailing Address1820 N Whitley DrFruitland, ID 83619-2163 · (208) 452-4808 · Fax (208) 452-6617
Fax(208) 452-6617
Organization SubpartNo
Authorized OfficialRyan David HillamSurgeon · (208) 452-4808
Enumeration DateApril 29, 2008
Last NPPES UpdateApril 19, 2010
NPI 1912172958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyExclusive Provider OrganizationManaged Care Organizations
Taxonomy Code302F00000X
License Licensed in ID · D3949OS
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
1820 N WHITLEY DR, Fruitland, ID 83619

Other Names 1

Former Legal Business NameCenter For Oral & Facial Surgery

Other Identifiers 2

Medicaid807651700ID
Medicaid241342OR

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 Idaho Oral Surgery PLLC's NPI number?

The NPI number for Idaho Oral Surgery PLLC is 1912172958. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider was formerly known as Center For Oral & Facial Surgery.

Where is Idaho Oral Surgery PLLC located?

Idaho Oral Surgery PLLC is located at 1820 N Whitley Dr, Fruitland, ID 83619. The listed phone number is (208) 452-4808.

What is Idaho Oral Surgery PLLC's specialty?

The primary specialty registered for this NPI is Exclusive Provider Organization with taxonomy code 302F00000X.

When was this NPI record last updated?

The NPPES record for Idaho Oral Surgery PLLC was last updated on April 19, 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.