Oral And Facial Surgery
LBN: Facial Oral And Dental Implant Surgery Associates, Inc.
Oral And Facial Surgery is an health care organization with primary practice located at 3326 4Th St Ste 2 , Lewiston ID 83501-4455. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Facial Oral And Dental Implant Surgery Associates, Inc. can be contacted via phone (208) 743-1640, or through Holm, Stephen Wilford via phone (208) 743-1640.
Contact Information
Primary practice address
3326 4Th St Ste 2
Lewiston ID 83501-4455
Phone: (208) 743-1640
Fax: (208) 743-1643
Website:
Authorized official contact:
Name: Holm, Stephen Wilford Doctor of Dental Medicine (DMD)
Phone: (208) 743-1640
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D-4057 | Idaho |
Profile Details
| NPI number | 1003060591 |
|---|---|
| LBN Legal business name | Facial Oral And Dental Implant Surgery Associates, Inc. |
| DBA Doing business as | Oral And Facial Surgery |
| Authorized official | Holm, Stephen Wilford Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 10th, 2008 |
| Last updated | Apr 14th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003060591 | NPPES |
| Idaho | MEDICAID | 808116400 | |
| Idaho | Other | 9212066 |
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