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PALOUSE ORAL & MAXILLOFACIAL SURGERY NPI 1497083638


NPI Information

NPI: 1497083638
Provider Name: PALOUSE ORAL & MAXILLOFACIAL SURGERY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2301 W A ST
SUITE A
MOSCOW, ID
ZIP 83843
Phone: (208) 882-0331
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PALOUSE ORAL & MAXILLOFACIAL SURGERY is a dental clinic center in Moscow, ID. PALOUSE ORAL & MAXILLOFACIAL SURGERY NPI is 1497083638. The provider is registered as an organization entity type.

The provider's business location address is:

2301 W A ST
SUITE A
MOSCOW, ID
ZIP 83843-042
Phone: (208) 882-0331

The provider's authorized official is John Wallace Morrisn .
The authorized official title is Owner and has the following contact phone number (208) 882-0331.

The enumeration date for this NPI number is 11/30/2009 and was last updated on 11/30/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalD-3321-OSIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11164567913OTHERIDAHONPI-PERSONAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.