Organization · Type 2 NPI
Facial Oral and Dental Implant Surgery Associates, Inc.
Oral and Maxillofacial Surgery (Dentist) · Lewiston, ID
NPI number
1003060591
Active
Practice location
3326 4th St Ste 2
Lewiston, ID 83501-4455
Fax (208) 743-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D-4057 (ID) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
About NPI 1003060591
Facial Oral and Dental Implant Surgery Associates, Inc.'s National Provider Identifier is 1003060591, issued on Nov 10, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lewiston, ID. The record was last updated on Apr 14, 2011.