Canyon County Oral Maxillofacial Surgery

Oral and Maxillofacial Pathology Clinic

 
4121 Clock Tower Ave, Caldwell
    Idaho, 83607-5006

 208-459-7800    Maps & Directions
Canyon County Oral Maxillofacial Surgery 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 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 is D3848OS (Oral and Maxillofacial Pathology) in Idaho.
Canyon County Oral Maxillofacial Surgery 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 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
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 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 are as mentioned below.
SpecializationLicense NumberStateStatus
Oral and Maxillofacial Pathology D3848OSIdahoPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
10149985OtherIdahoRegence Blue Shield
1783151OtherIdahoUnited Concordia
6L859OtherIdahoBlue 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
4121 Clock Tower Ave,
Caldwell, Idaho
Zip: 83607-5006
Phone Number: 208-459-7800
Patients can reach Canyon County Oral Maxillofacial Surgery at 4121 Clock Tower Ave, Caldwell, Idaho or can call to book an appointment on 208-459-7800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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