Organization · Type 2 NPI
Table Rock Oral Surgery PLLC
Oral and Maxillofacial Surgery Clinic/Center · Boise, ID
NPI number
1487238689
Active
Practice location
403 S 11th St Ste 320
Boise, ID 83702-6968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | None listed |
Oral and Maxillofacial Surgery Clinic/Center: 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 clinic/center providers in Boise
- Alpine Surgical Arts LLCOral and Maxillofacial Surgery Clinic/Center Boise, ID NPI 1134789845
- Alpine Surgical Arts Southeast Boise, LLCOral and Maxillofacial Surgery Clinic/Center Boise, ID NPI 1811821549
- Northwest Oral Surgery LLCOral and Maxillofacial Surgery Clinic/Center Boise, ID NPI 1962336693
About NPI 1487238689
Table Rock Oral Surgery PLLC's National Provider Identifier is 1487238689, issued on May 12, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Boise, ID. The record was last updated on Apr 10, 2024.