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

Id Oms Specialty Dental Services, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1467218552

Id Oms Specialty Dental Services, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Boise, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7910 W Ustick Rd
Boise, ID 83704-5850
Phone: (208) 322-5522
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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 number1467218552
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationId Oms Specialty Dental Services, PLLC
Authorized official Charlotte Dasch — Director Of Credentialing And Pr · (615) 678-0759
Other names Boise Oral Surgery & Implant Center
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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