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Oral Surgery Center Of Idaho, Pllc
Oral and Maxillofacial Surgery Clinic/Center in Meridian, Idaho
NPI 1841634581

Oral Surgery Center Of Idaho, Pllc is a Oral and Maxillofacial Surgery Clinic/Center based in Meridian, ID and is specialized in Oral and Maxillofacial Surgery. Oral Surgery Center Of Idaho, Pllc practices in Meridian, ID. The NPI Number for Oral Surgery Center Of Idaho, Pllc is 1841634581 and holds a License No. D-4099-OS (Idaho).

The current practice location address for Oral Surgery Center Of Idaho, Pllc is 1550 N Crestmont Dr Ste G, Meridian, ID and can be reached out via phone at 208-884-0100 and via fax at 208-884-4844.

Location: 1550 N Crestmont Dr Ste G, Meridian, ID, 83642-2177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841634581
Provider Name
Oral Surgery Center Of Idaho, Pllc
Credential
Provider Entity Type
Organization
Address
1550 N Crestmont Dr Ste G, Meridian, ID, 83642-2177
Phone Number
208-884-0100
Fax Number
208-884-4844
Provider Enumeration Date
04/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861645202 01 MY PERSONAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
1550 N Crestmont Dr Ste G
City
Meridian
State
Idaho
Zip
83642-2177
Phone Number
208-884-0100
Fax Number
208-884-4844
person
Provider Business Mailing Address Details
Address
1550 N Crestmont Dr Ste G
City
Meridian
State
Idaho
Zip
83642-2177
Phone Number
208-884-0100
Fax Number
208-884-4844
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
D-4099-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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Similar Doctors in Meridian, Idaho:

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Oral and Maxillofacial Surgery Clinic/Center
1550 N Crestmont Dr,
MERIDIAN, ID
83642-2184
208-884-0100
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