Facial Oral And Dental Implant Surgery Associates, Inc.
Oral and Maxillofacial Dental Clinic
3326 4th St Ste 2, Lewiston
Idaho, 83501-4455
208-743-1640 208-743-1643
Maps & DirectionsFacial Oral And Dental Implant Surgery Associates, Inc. is a Oral and Maxillofacial Dental Clinic in Lewiston, Idaho. It is located at 3326 4th St Ste 2, Lewiston, ID and its contact number is 208-743-1640. The authorized person for Facial Oral And Dental Implant Surgery Associates, Inc. is Dr. Stephen Wilford Holm
who is Owner of the clinic and their contact number is 208-743-1640. The primary license number for Facial Oral And Dental Implant Surgery Associates, Inc. is D-4057 (Oral and Maxillofacial Surgery) in Idaho.
Facial Oral And Dental Implant Surgery Associates, Inc. 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:
Facial Oral And Dental Implant Surgery Associates, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Facial Oral And Dental Implant Surgery Associates, Inc. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 3326 4th St Ste 2, Lewiston,
Idaho, 83501-4455 |
| Phone: | 208-743-1640 |
| Fax: | 208-743-1643 |
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: | Dr. Stephen Wilford Holm |
| Position: | Owner |
| Contact Number: | 208-743-1640 |
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 Facial Oral And Dental Implant Surgery Associates, Inc. clinic are as mentioned below.
| NPI Number: | 1003060591 |
| NPI Enumeration Date: | 10 Nov, 2008 |
| NPI Last Update On: | 14 Apr, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Facial Oral And Dental Implant Surgery Associates, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | D-4057 | 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 |
| 808116400 | Medicaid | Idaho | |
| 9212066 | Other | Idaho | Idaho Smiles |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Facial Oral And Dental Implant Surgery Associates, Inc.
3326 4th St Ste 2,
Lewiston, Idaho |
| Zip: | 83501-4455 |
| Phone Number: | 208-743-1640 |
| Fax Number: | 208-743-1643 |
Patients can reach Facial Oral And Dental Implant Surgery Associates, Inc. at
3326 4th St Ste 2, Lewiston, Idaho or can
call to book an appointment on 208-743-1640.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.