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

Oral Surgery Center of Idaho, PLLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1841634581

Oral Surgery Center of Idaho, PLLC is an Oral and Maxillofacial Surgery Clinic/Center in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
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

1550 N Crestmont Dr Ste G
Meridian, ID 83642-2177
Phone: (208) 884-0100
Fax: (208) 884-4844
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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 · Licence D-4099-OS (ID)

Record details

NPI number1841634581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dabell — Oral Surgeon · (208) 884-0100
NPI enumeratedApril 24, 2013
Last updated in NPPESApril 24, 2013
Mailing address1550 N Crestmont Dr Ste G, Meridian, ID 83642-2177

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