Canyon County Oral Maxillofacial Surgery, Inc
Canyon County Oral Maxillofacial Surgery, Inc is an 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
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