Canyon County Oral Maxillofacial Surgery, Inc
Oral and Maxillofacial Pathology Clinic
4121 Clock Tower Ave, Caldwell
Idaho, 83607-5006
208-459-7800 Maps & DirectionsCanyon County Oral Maxillofacial Surgery, Inc is a Oral and Maxillofacial Pathology Clinic in Caldwell, Idaho. It is located at 4121 Clock Tower Ave, Caldwell, ID and its contact number is 208-459-7800. The authorized person for Canyon County Oral Maxillofacial Surgery, Inc is Nicholas A Massoth
who is Oral Surgeon of the clinic and their contact number is 208-459-7800. The primary license number for Canyon County Oral Maxillofacial Surgery, Inc is D3848OS (Oral and Maxillofacial Pathology) in Idaho.
Canyon County Oral Maxillofacial Surgery, Inc Clinic is specialized in that branch of dentistry and pathology which 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.
Complete Clinic Profile:
Canyon County Oral Maxillofacial Surgery, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Canyon County Oral Maxillofacial Surgery, Inc |
| Specialization: | Oral and Maxillofacial Pathology |
| Clinic Address: | 4121 Clock Tower Ave, Caldwell,
Idaho, 83607-5006 |
| Phone: | 208-459-7800 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Nicholas A Massoth |
| Position: | Oral Surgeon |
| Contact Number: | 208-459-7800 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Canyon County Oral Maxillofacial Surgery, Inc clinic are as mentioned below.
| NPI Number: | 1710184783 |
| NPI Enumeration Date: | 02 Jul, 2007 |
| NPI Last Update On: | 10 Jul, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Canyon County Oral Maxillofacial Surgery, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Pathology | D3848OS | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10149985 | Other | Idaho | Regence Blue Shield |
| 1783151 | Other | Idaho | United Concordia |
| 6L859 | Other | Idaho | Blue Cross Of Id |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Canyon County Oral Maxillofacial Surgery, Inc
4121 Clock Tower Ave,
Caldwell, Idaho |
| Zip: | 83607-5006 |
| Phone Number: | 208-459-7800 |
Patients can reach Canyon County Oral Maxillofacial Surgery, Inc at
4121 Clock Tower Ave, Caldwell, Idaho or can
call to book an appointment on 208-459-7800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.