TETON OMS NPI 1336036474

NPI Details

TETON OMS is an oral maxillofacial surgery in Idaho Falls, ID. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. TETON OMS NPI is 1336036474. The provider is registered as an organization entity type.

The provider's business location address is:

780 BRIDGEPORT DR
IDAHO FALLS, ID
ZIP 83402-370
Phone: (208) 932-4600
Fax: (208) 932-4601

The provider's authorized official is Makell Clay .
The authorized official title is Practice Manager and has the following contact phone number (208) 932-4600.

The enumeration date for this NPI number is 6/20/2025 and was last updated on 6/20/2025.

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: