FACIAL & ORAL SURGERY ASSOCIATES INC. NPI 1649453275

NPI Information

FACIAL & ORAL SURGERY ASSOCIATES, INC. is an oral and maxillofacial surgery dentist in Pocatello, 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. FACIAL & ORAL SURGERY ASSOCIATES, INC. NPI is 1649453275. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

165 N 14TH AVE
POCATELLO, ID
ZIP 83201-146
Phone: (208) 232-2807
Fax: (208) 232-8118

The provider's authorized official is Wende Stuart .
The authorized official title is Office Administrator and has the following contact phone number (208) 232-2807.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 6/16/2010.

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:

Other Identifiers

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