Organization · Type 2 NPI

Id Oms Specialty Dental Services, PLLC

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

NPI number 1366119075 Active

Practice location

1859 N Lakewood Dr Ste 101
Coeur D Alene, ID 83814-2661

Call (208) 667-5565 Map

Mailing address

401 Church St Ste 1400
Nashville, TN 37219-2214

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.

2 other providers at this address

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About NPI 1366119075

Id Oms Specialty Dental Services, PLLC's National Provider Identifier is 1366119075, issued on Aug 30, 2021. 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 30, 2021.