Organization · Type 2 NPI
Teton Oms
Oral & Maxillofacial Surgery (D.M.D.) · Idaho Falls, ID
Practice location
780 Bridgeport Dr
Idaho Falls, ID 83402-3370
Fax (208) 932-4601
Other practice locations
- 360 E Main St, Rexburg, ID 83440-2015 · (208) 932-4600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) Primary | 204E00000X | None listed |
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | None listed |
Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…
About NPI 1336036474
Teton Oms's National Provider Identifier is 1336036474, issued on Jun 20, 2025. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Idaho Falls, ID. The record was last updated on May 15, 2026.