Facial & Oral Surgery Associates, Inc.

LBN: Facial & Oral Surgery Associates, Inc.
Facial & Oral Surgery Associates, Inc. is an health care organization with primary practice located at 165 N 14Th Ave , Pocatello ID 83201-4146. 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 Surgery Associates, Inc. can be contacted via phone (208) 232-2807, or through Stuart, Wende via phone (208) 232-2807.

Contact Information

Primary practice address
165 N 14Th Ave Pocatello ID 83201-4146
Phone: (208) 232-2807
Fax: (208) 232-8118
Website:
Map and Directions
Authorized official contact:
Name: Stuart, Wende
Phone: (208) 232-2807

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D3016 Idaho

Profile Details

NPI number 1649453275
LBN Legal business name Facial & Oral Surgery Associates, Inc.
DBA Doing business as
Authorized official Stuart, Wende
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Jun 16th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649453275 NPPES
Idaho Other 190005336 RAILROAD MEDICARE
Idaho Other 190009031 RAILROAD MEDICARE
Idaho MEDICAID 805112100 RAILROAD MEDICARE
Idaho MEDICAID 805112200 RAILROAD MEDICARE
Idaho MEDICAID 805177600 RAILROAD MEDICARE

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