Organization · Type 2 NPI
Whitewater Oral Surgery Group PLLC
Oral and Maxillofacial Surgery (Dentist) · Boise, ID
NPI number
1104248053
Active
Practice location
3003 W Main St Ste 130
Boise, ID 83702-2026
Fax (208) 344-1799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D3407 (ID) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | M7750 (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.
5 other providers at this address
- Christopher Scott Manis Jr., DMDOral & Maxillofacial Surgery (D.M.D.) Boise, ID NPI 1770945479
- Devan Michael Munk, DMDOral and Maxillofacial Surgery (Dentist) Boise, ID NPI 1255968053
- Eric Webb Nelson, MD, DDSOral and Maxillofacial Pathology Dentistry Boise, ID NPI 1376593640
- Justin Hastings, DDS, MDOral & Maxillofacial Surgery (D.M.D.) Boise, ID NPI 1831496843
- Kevin G. Kempers, DDS, MDOral and Maxillofacial Surgery (Dentist) Boise, ID NPI 1255435459
Other oral and maxillofacial surgery (dentist) providers in Boise
- Treasure Valley Oral and Facial Surgery PLLCOral and Maxillofacial Surgery (Dentist) Boise, ID NPI 1013274661
- Michael R Bailey MD DDS PAOral and Maxillofacial Surgery (Dentist) Boise, ID NPI 1053584284
- Dean C. Younce, Dmd, PAOral and Maxillofacial Surgery (Dentist) Boise, ID NPI 1457378382
- Id Oms Specialty Dental Services, PLLCOral and Maxillofacial Surgery (Dentist) Boise, ID NPI 1467218552
- Boise Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery (Dentist) Boise, ID NPI 1699949750
- Parkcenter Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery (Dentist) Boise, ID NPI 1811670631
About NPI 1104248053
Whitewater Oral Surgery Group PLLC's National Provider Identifier is 1104248053, issued on Jan 13, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boise, ID. The record was last updated on Sep 4, 2020.