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

Northwest Oral Surgery LLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1962336693

Northwest Oral Surgery LLC is an Oral and Maxillofacial Surgery Clinic/Center in Boise, Idaho. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3190 E Barber Valley Dr
Boise, ID 83716-4735
Phone: (208) 344-9115
Fax: (208) 344-9113
Show map & directions

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 number1962336693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Syrus Haghighi — Owner · (208) 344-9115
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address1670 S Spring Valley Ln, Meridian, ID 83642-9094

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