IDAHO ORAL & MAXILLOFACIAL SURGERY, PC (NPI# 1588868442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588868442 |
Entity Type | Organization |
Organization Name | IDAHO ORAL & MAXILLOFACIAL SURGERY, PC |
Practice Address |
590 Falls Ave Twin Falls ID 83301-3314 |
Practice Telephone | 2087331182 |
Practice Fax Number | 2087333341 |
Mailing Telephone | 2087331182 |
Mailing Fax Number | 2087333341 |
Enumeration Date | 2007-06-13 |
Last Update Date | 2014-07-25 |
Authorized Official Name | DR. TIMOTHY TED HOPKINS (OWNER) |
Authorized Official Telephone | 2087331182 |
Authorized Official Credential | D.D.S.,MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
D3944-OS | ID | Dental Providers |
Street Address |
590 FALLS AVE |
City | TWIN FALLS |
State | ID |
Zip Code | 83301-3314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376689646 | Timothy Ted Hopkins | Dentist | 590 Falls Ave, Twin Falls, ID 83301-3314 | 2007-01-30 |
1073720009 | Magic Valley Oral Surgery | Dentist | 590 Falls Ave, Twin Falls, ID 83301-3314 | 2007-05-17 |
1376685982 | Vincent L Williams | Dentist | 590 Falls Ave, Twin Falls, ID 83301-3314 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
Find all providers in zip 83301 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114957917 | Nicholas A Massoth | Dentist | 4121 Clock Tower Ave, Caldwell, ID 83607-5006 | 2006-07-04 |
1376593640 | Eric Webb Nelson | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2006-05-10 |
1568095883 | Facial Trauma Associates Pllc | Dentist | 1000 N Curtis Rd Ste 103, Boise, ID 83706-1345 | 2020-02-14 |
1710184783 | Canyon County Oral Maxillofacial Surgery, Inc | Dentist | 4121 Clock Tower Ave, Caldwell, ID 83607-5006 | 2007-07-02 |
1376684175 | Scott M Blake | Dentist | 333 S Woodruff Ave, Idaho Falls, ID 83401-4322 | 2007-02-12 |
City | TWIN FALLS |
Zip Code | 83301 |
Please comment or provide details below to improve the information on IDAHO ORAL & MAXILLOFACIAL SURGERY, PC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.