Oral And Facial Surgery 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 Oral And Facial Surgery is Dr. Stephen Wilford Holm
who is Owner of the clinic and their contact number is 208-743-1640. The primary license number for Oral And Facial Surgery is D-4057 (Oral and Maxillofacial Surgery) in Idaho. Oral And Facial Surgery 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:
Oral And Facial Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Oral And Facial Surgery
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 Oral And Facial Surgery 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 Oral And Facial Surgery 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:
Oral And Facial Surgery 3326 4th St Ste 2, Lewiston, Idaho
Zip:
83501-4455
Phone Number:
208-743-1640
Fax Number:
208-743-1643
Patients can reach Oral And Facial Surgery at 3326 4th St Ste 2, Lewiston, Idaho or can call to book an appointment on 208-743-1640. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.