MAGIC VALLEY ORAL SURGERY NPI 1073720009

NPI Information

MAGIC VALLEY ORAL SURGERY is an oral and maxillofacial surgery dentist in Twin Falls, ID. The provider is 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. MAGIC VALLEY ORAL SURGERY NPI is 1073720009. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

590 FALLS AVE
TWIN FALLS, ID
ZIP 83301-314
Phone: (208) 734-3562
Fax: (208) 736-8339

The provider's authorized official is Vincent Lynn Williams .
The authorized official title is Ownerpresident and has the following contact phone number (208) 734-3562.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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