National Provider Identifier Database

ORAL SURGERY CENTER OF IDAHO PLLC
Oral and Maxillofacial Surgery

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.


Contact Information

ORAL SURGERY CENTER OF IDAHO, PLLC
1550 N CRESTMONT DR STE G
MERIDIAN, ID83642-2177
Phone: 208-884-0100
Fax: 208-884-4844
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ORAL SURGERY CENTER OF IDAHO, PLLC

NPI Number 1841634581
Legal business name
LBN
ORAL SURGERY CENTER OF IDAHO, PLLC
Authorized official MICHAEL DABELL - (ORAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 04/24/2013
Last updated 04/24/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: D-4099-OS
  • Other: 1861645202 MY PERSONAL NPI NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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