Organization · Type 2 NPI

Coeur D' Alene Oral Surgery

Oral and Maxillofacial Surgery (Dentist) · Coeur D Alene, ID

NPI number 1023398716 Active

Practice location

1027 E Sherman Ave
Coeur D Alene, ID 83814-4152

Fax (208) 667-5745

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD-1578-OS (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.

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About NPI 1023398716

Coeur D' Alene Oral Surgery's National Provider Identifier is 1023398716, issued on Aug 25, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 25, 2011.