Organization · Type 2 NPI
Elison Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Idaho Falls, ID
Practice location
2588 Channing Way
Idaho Falls, ID 83404-7515
Mailing address
1655 Coronado St
Idaho Falls, ID 83404-7467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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
Other oral and maxillofacial surgery (dentist) providers in Idaho Falls
About NPI 1114255916
Elison Oral and Maxillofacial Surgery's National Provider Identifier is 1114255916, issued on Dec 7, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 7, 2009.