| Oral And Facial Surgery | |
|
3326 4th St Ste 2 Lewiston ID 83501-4455 | |
| (208) 743-1640 | |
| (208) 743-1643 |
| Full Name | Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3326 4th St Ste 2, Lewiston, Idaho |
| Authorized Official Name and Position | Stephen Wilford Holm (OWNER) |
| Authorized Official Contact | 2087431640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgery 3326 4th St Ste 2 Lewiston ID 83501-4455 Ph: (208) 743-1640 | Oral And Facial Surgery 3326 4th St Ste 2 Lewiston ID 83501-4455 Ph: (208) 743-1640 |
| NPI Number | 1003060591 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003060591 | NPI | - | NPPES |
| 808116400 | Medicaid | ID | |
| 9212066 | Other | ID | IDAHO SMILES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D-4057 (Idaho) | Primary |
Dentistry By Design Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2517 17th St, Suite A, Lewiston, ID 83501 Phone: 208-746-1373 Fax: 208-746-9855 | |
Perio Docs - Lewiston Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3323 4th St, Lewiston, ID 83501 Phone: 208-743-1114 Fax: 208-743-3029 | |
John J Johnson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3510 12th St, Suite 600, Lewiston, ID 83501 Phone: 208-798-7955 Fax: 208-798-7957 | |
Kent B. Simmons Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3318 4th St, Lewiston, ID 83501 Phone: 208-746-3694 Fax: 208-743-8313 | |
Dr. David Lloyd Wilkinson Dds, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3326 4th St, Suite 5, Lewiston, ID 83501 Phone: 208-746-0479 Fax: 208-798-3000 | |
Yes Today Dentistry Lewiston Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2360 Thain Grade, Lewiston, ID 83501 Phone: 208-717-1966 |