Clark Oral & Facial Surgery - Burley
Clark Oral & Facial Surgery - Burley is an Oral and Maxillofacial Surgery Clinic/Center in Burley, Idaho. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1404 Pomerelle Ave Ste A2Burley, ID 83318-2013
Phone: (208) 831-2901
Fax: (208) 736-6249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X |
|---|
Record details
| NPI number | 1356133870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Clark Oral & Facial Surgery - Burley |
| Authorized official | Durella Holmes — Practice Manager · (208) 831-2900 |
| Other names | Clark Oral & Facial Surgery, Pc |
| NPI enumerated | May 20, 2025 |
| Last updated in NPPES | May 20, 2025 |
| Certification date | May 20, 2025 |
| Mailing address | 1404 Pomerelle Ave Ste A2, Burley, ID 83318-2013 |