Idaho Oral Surgery Pllc

  • 1912172958 NPI Number
  • |
  • Actived: 16 years ago
  • |
Idaho Oral Surgery Pllc is a health care provider based in Fruitland, ID. The NPI Number is 1912172958 and it has been active since 16 years ago. The specialty is Exclusive Provider Organization, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Exclusive Provider Organization services, Idaho Oral Surgery Pllc is an excellent option. We are here to help you get the care you need.

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Overview of Idaho Oral Surgery Pllc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 04/29/2008
  • Last updated: 04/19/2010

Primary Scrop of Practice

  • Taxonomy Code: 302F00000X
  • Specialty: Exclusive Provider Organization
  • License Number: D3949OS
  • License State: ID

Provider Mailing Address

  • Address: 1820 N Whitley Dr
    Fruitland, ID 83619
  • Phone: 208-452-4808
  • Fax: 208-452-6617

Provider Practice Location

  • Address: 1820 N Whitley Dr
    Fruitland, ID 83619
  • Phone: 208-452-4808
  • Fax: 208-452-6617

Authorized Official

  • Name: Ryan David Hillam DDS
  • Position/Title: Surgeon
  • Telephone Number: 208-452-4808

Scope of Practice

  • Taxonomy Code: 302F00000X
  • Specialty: Exclusive Provider Organization
  • License Number: D3949OS
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 241342
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Idaho Oral Surgery Pllc?
  • A: The npi number for Idaho Oral Surgery Pllc is 1912172958.
  • Q: What are Idaho Oral Surgery Pllc's specialties?
  • A: Idaho Oral Surgery Pllc's specialties are Exclusive Provider Organization and different specialities.
  • Q: Where is Idaho Oral Surgery Pllc business practice location?
  • A: Idaho Oral Surgery Pllc business practice location is 1820 N Whitley Dr, Fruitland, ID 83619.
  • Q: How to contact Idaho Oral Surgery Pllc?
  • A: You can contact Idaho Oral Surgery Pllc via 208-452-4808.
  • Q: What is the authorized official for Idaho Oral Surgery Pllc?
  • A: The authorized office name is Ryan David Hillam DDS with position/title is Surgeon and you can reach the authorized official via phone number 2084524808.
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