Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elison Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1114255916

Elison Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Idaho Falls, Idaho. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2588 Channing Way
Idaho Falls, ID 83404-7515
Phone: (208) 524-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1114255916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Elison — President · (208) 524-3200
NPI enumeratedDecember 7, 2009
Last updated in NPPESDecember 7, 2009
Mailing address1655 Coronado St, Idaho Falls, ID 83404-7467

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