IDAHO ORAL SURGERY PLLC
NPI 1912172958
Exclusive Provider Organization in Fruitland, ID
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
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.