Eagle Oral Surgery And Dental Implant Center Pllc
Oral and Maxillofacial Dental Clinic
197 W State St, Eagle
Idaho, 83616-4959
208-995-2865 Maps & DirectionsEagle Oral Surgery And Dental Implant Center Pllc is a Oral and Maxillofacial Dental Clinic in Eagle, Idaho. It is located at 197 W State St, Eagle, ID and its contact number is 208-995-2865. The authorized person for Eagle Oral Surgery And Dental Implant Center Pllc is Jeremy L Hixson
who is Owner/provider of the clinic and their contact number is 208-451-6584. The primary license number for Eagle Oral Surgery And Dental Implant Center Pllc is D-4617-OS (Oral and Maxillofacial Surgery) in Idaho.
Eagle Oral Surgery And Dental Implant Center Pllc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Eagle Oral Surgery And Dental Implant Center Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Eagle Oral Surgery And Dental Implant Center Pllc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 197 W State St, Eagle,
Idaho, 83616-4959 |
| Phone: | 208-995-2865 |
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: | Jeremy L Hixson |
| Position: | Owner/provider |
| Contact Number: | 208-451-6584 |
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 Eagle Oral Surgery And Dental Implant Center Pllc clinic are as mentioned below.
| NPI Number: | 1780074864 |
| NPI Enumeration Date: | 28 Jan, 2015 |
| NPI Last Update On: | 28 Jan, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eagle Oral Surgery And Dental Implant Center Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | D-4617-OS | Idaho | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Eagle Oral Surgery And Dental Implant Center Pllc
197 W State St,
Eagle, Idaho |
| Zip: | 83616-4959 |
| Phone Number: | 208-995-2865 |
Patients can reach Eagle Oral Surgery And Dental Implant Center Pllc at
197 W State St, Eagle, Idaho or can
call to book an appointment on 208-995-2865.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.