Canyon County Oral Maxillofacial Surgery, Inc
Canyon County Oral Maxillofacial Surgery, Inc provides Oral and Maxillofacial Pathology Dentistry in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4121 Clock Tower AveCaldwell, ID 83607-5006 Not confirmed with CMS for 19 years — call before visiting
Phone: (208) 459-7800
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Pathology Dentistry (primary) | Taxonomy 1223P0106X · Licence D3848OS (ID) |
|---|
Record details
| NPI number | 1710184783 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicholas Massoth — Oral Surgeon · (208) 459-7800 |
| Other names | Canyon County Oral Maxillofacial Surgery |
| NPI enumerated | July 2, 2007 |
| Last updated in NPPES | July 10, 2007 |
| Mailing address | 4121 Clock Tower Ave, Caldwell, ID 83607-5006 |
Other providers in Caldwell
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Nicholas A Massoth, DMD
4121 Clock Tower Ave, Caldwell, ID 83607-5006 · (208) 459-7800