institution
Facial & Oral Surgery Associates, Inc.
Oral and Maxillofacial Surgery (Dentist) in Pocatello, Idaho
NPI 1649453275

Facial & Oral Surgery Associates, Inc. is a Oral and Maxillofacial Surgery (Dentist) based in Pocatello, ID and is specialized in Oral and Maxillofacial Surgery. Facial & Oral Surgery Associates, Inc. practices in Pocatello, ID. The NPI Number for Facial & Oral Surgery Associates, Inc. is 1649453275 and holds a License No. D3016 (Idaho).

The current practice location address for Facial & Oral Surgery Associates, Inc. is 165 N 14Th Ave, Pocatello, ID and can be reached out via phone at 208-232-2807 and via fax at 208-232-8118.

Location: 165 N 14Th Ave, Pocatello, ID, 83205-6033
institution
Provider Profile Details
NPI Number
1649453275
Provider Name
Facial & Oral Surgery Associates, Inc.
Credential
Provider Entity Type
Organization
Address
165 N 14Th Ave, Pocatello, ID, 83205-6033
Phone Number
208-232-2807
Fax Number
208-232-8118
Provider Enumeration Date
12/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
190005336 01 ID RAILROAD MEDICARE
190009031 01 ID RAILROAD MEDICARE
805112100 05 ID
805112200 05 ID
805177600 05 ID
institution
Provider Business Practice Location Address Details
Address
165 N 14Th Ave
City
State
Zip
83201-4146
Phone Number
208-232-2807
Fax Number
208-232-8118
person
Provider Business Mailing Address Details
Address
165 N 14Th Ave
City
State
Zip
83201-4146
Phone Number
208-232-2807
Fax Number
208-232-8118
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D3016 (Idaho)
Definition
The specialty of dentistry which includes 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.
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