No PECOS
1000 N CURTIS RD STE 103
Boise, ID 83706
Boise, ID 83706
- Not in PECOS data
- Organization · Oral & Maxillofacial Surgery
Oral & Maxillofacial Surgery Providers in Idaho
204E00000X
Idaho
6Providers in state
2Organizations
4Individuals
1/1Page
A directory of 6 health care providers with a business address in Idaho whose primary or secondary taxonomy code is 204E00000X (Oral & Maxillofacial Surgery). Of these, 2 are registered as organizations and 4 as individual providers. About taxonomy code 204E00000X ›
Idaho Oral & Maxillofacial Surgery Directory
Showing 5 providers on page 1 of 1, sorted by last name / organization name. Use the bar below to filter the providers on this page.
PECOS
3003 W MAIN ST STE 130
Boise, ID 83702
Boise, ID 83702
- Enrolled in PECOS, eligible to order and refer
- Individual · Oral & Maxillofacial Surgery
No PECOS
980 W IRONWOOD DR STE 301
Coeur D Alene, ID 83814
Coeur D Alene, ID 83814
- Not in PECOS data
- Organization · Oral & Maxillofacial Surgery
PECOS
360 E. MAIN ST.
Rexburg, ID 83440
Rexburg, ID 83440
- Enrolled in PECOS, eligible to order and refer
- Individual · Oral & Maxillofacial Surgery
PECOS
403 S 11TH ST STE 300
Boise, ID 83702
Boise, ID 83702
- Enrolled in PECOS, eligible to order and refer
- Accepts Medicare assignment
- Individual · Oral & Maxillofacial Surgery
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Frequently Asked Questions
As of the latest NPPES update, 6 providers in Idaho are registered under taxonomy code 204E00000X (Oral & Maxillofacial Surgery). Of these, 2 (33%) are organizations and 4 (67%) are individual providers. Among the individual providers, 0 are female and 4 are male.
Each card shows a PECOS badge based on the CMS Order and Referring dataset. A green PECOS badge means the provider appears in that dataset as eligible to order and refer. Open the provider profile, then verify directly in PECOS before relying on it for claims or credentialing.
The directory is rebuilt from the public NPPES registry, which is refreshed weekly. The NPI data on this page was last updated on July 5, 2026. A provider that recently updated their record may take a short time to appear here.
Provider Composition & Statistics
6Total providers
2Organizations 33%
4Individuals 67%
4Male
Counts reflect Idaho. Gender is recorded for individual providers only. Source: NPPES.
Provider data from the National Plan and Provider Enumeration System (NPPES), refreshed weekly. PECOS status from the CMS Medicare Order and Referring dataset. Taxonomy from the NUCC code set, Version 26.0.
