Organization · Type 2 NPI

Northwest Oral Surgery LLC

Oral and Maxillofacial Surgery Clinic/Center · Boise, ID

NPI number 1962336693 Active

Practice location

3190 E Barber Valley Dr
Boise, ID 83716-4735

Fax (208) 344-9113

Mailing address

1670 S Spring Valley Ln
Meridian, ID 83642-9094

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone 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.

2 other providers at this address

Other oral and maxillofacial surgery clinic/center providers in Boise

See all in Boise →

About NPI 1962336693

Northwest Oral Surgery LLC's National Provider Identifier is 1962336693, issued on Jun 9, 2026. 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 Jun 9, 2026.