1912172958 IDAHO ORAL SURGERY PLLC
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- IDAHO ORAL SURGERY PLLC
- Enumeration Date
- April 29, 2008
- Last Update
- April 19, 2010
- Authorized Official
- RYAN DAVID HILLAM DDS
SURGEON
Phone: (208) 452-4808
Practice Location
- Address
- 1820 N WHITLEY DR
FRUITLAND, ID 836192163 - Phone
- (208) 452-4808
- Fax
- (208) 452-6617
Mailing Address
- Address
- 1820 N WHITLEY DR
FRUITLAND, ID 836192163 - Phone
- (208) 452-4808
- Fax
- (208) 452-6617
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | D3949OS | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241342 | 05 | OR | N/A |
| 807651700 | 05 | ID | N/A |
Frequently Asked Questions
What is IDAHO ORAL SURGERY PLLC's NPI number?
IDAHO ORAL SURGERY PLLC's NPI number is 1912172958.
Which doctor has NPI number 1912172958?
The doctor with NPI number 1912172958 is IDAHO ORAL SURGERY PLLC.
What is IDAHO ORAL SURGERY PLLC's practice address?
IDAHO ORAL SURGERY PLLC's practice address is 1820 N WHITLEY DR, FRUITLAND, ID, 836192163.
Which doctor practices at 1820 N WHITLEY DR, FRUITLAND, ID, 836192163?
IDAHO ORAL SURGERY PLLC practices at 1820 N WHITLEY DR, FRUITLAND, ID, 836192163.
What is IDAHO ORAL SURGERY PLLC's phone number?
IDAHO ORAL SURGERY PLLC's phone number is (208) 452-4808.
Who is (208) 452-4808?
(208) 452-4808 is the phone number for IDAHO ORAL SURGERY PLLC.
What is IDAHO ORAL SURGERY PLLC's specialty?
IDAHO ORAL SURGERY PLLC's specialty is Exclusive Provider Organization.
What type of doctor is IDAHO ORAL SURGERY PLLC?
IDAHO ORAL SURGERY PLLC is a Exclusive Provider Organization.
Is IDAHO ORAL SURGERY PLLC a Exclusive Provider Organization?
Yes, IDAHO ORAL SURGERY PLLC is a Exclusive Provider Organization.
Is IDAHO ORAL SURGERY PLLC still practicing?
Yes, IDAHO ORAL SURGERY PLLC is currently practicing.
Is IDAHO ORAL SURGERY PLLC accepting new patients?
IDAHO ORAL SURGERY PLLC may be accepting new patients. Please call their office at (208) 452-4808 to inquire about availability.
Is NPI 1912172958 still active?
Yes, NPI 1912172958 is currently active.
Where does IDAHO ORAL SURGERY PLLC practice?
IDAHO ORAL SURGERY PLLC practices in FRUITLAND, ID.