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Eagle Oral Surgery And Dental Implant Center Pllc
Oral and Maxillofacial Surgery (Dentist) in Eagle, Idaho
NPI 1780074864

Eagle Oral Surgery And Dental Implant Center Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Eagle, ID and is specialized in Oral and Maxillofacial Surgery. Eagle Oral Surgery And Dental Implant Center Pllc practices in Eagle, ID. The NPI Number for Eagle Oral Surgery And Dental Implant Center Pllc is 1780074864 and holds a License No. D-4617-OS (Idaho).

The current practice location address for Eagle Oral Surgery And Dental Implant Center Pllc is 197 W State St, Eagle, ID and can be reached out via phone at 208-995-2865.

Location: 197 W State St, Eagle, ID, 83616-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780074864
Provider Name
Eagle Oral Surgery And Dental Implant Center Pllc
Credential
Provider Entity Type
Organization
Address
197 W State St, Eagle, ID, 83616-4959
Phone Number
208-995-2865
Fax Number
Provider Enumeration Date
01/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
197 W State St
City
Eagle
State
Idaho
Zip
83616-4959
Phone Number
208-995-2865
Fax Number
person
Provider Business Mailing Address Details
Address
197 W State St
City
Eagle
State
Idaho
Zip
83616-4959
Phone Number
208-995-2865
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D-4617-OS (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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