IDAHO ORAL & MAXILLOFACIAL SURGERY, PC


Address: 590 Falls Ave, Twin Falls, ID 83301-3314
Phone: 2087331182

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
D3944-OS ID Dental Providers

Office Location

Street Address 590 FALLS AVE
City TWIN FALLS
State ID
Zip Code 83301-3314

Providers in the same location

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

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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 Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

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City TWIN FALLS
Zip Code 83301

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Dataset Information

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.

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