ELISON ORAL AND MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Idaho 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. ELISON ORAL AND MAXILLOFACIAL SURGERY NPI is 1114255916. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2588 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-515
Phone: (208) 524-3200
The provider's authorized official is Mark Turney Elison .
The authorized official title is President and has the following contact phone number (208) 524-3200.
The enumeration date for this NPI number is 12/7/2009 and was last updated on 12/7/2009.