EAGLE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC is an oral and maxillofacial surgery dentist in Eagle, ID. The provider is an oral and maxillofacial surgery dentist specialized in 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. EAGLE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC NPI is 1780074864. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
197 W STATE ST
EAGLE, ID
ZIP 83616-959
Phone: (208) 995-2865
The provider's authorized official is Jeremy L Hixson .
The authorized official title is Owner/provider and has the following contact phone number (208) 451-6584.
The enumeration date for this NPI number is 1/28/2015 and was last updated on 1/28/2015.