Table Rock Oral Surgery PLLC
Table Rock Oral Surgery PLLC is an Oral and Maxillofacial Surgery Clinic/Center in Boise, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
403 S 11th St Ste 320Boise, ID 83702-6968
Phone: (208) 375-0191
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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 | 1487238689 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Obrien — Owner · (208) 412-0637 |
| Other names | Table Rock Oral Surgery And Dental Implants |
| NPI enumerated | May 12, 2021 |
| Last updated in NPPES | April 10, 2024 |
| Certification date | April 10, 2024 |
| Mailing address | 403 S 11th St Ste 320, Boise, ID 83702-6968 |
Other providers in Boise
-
Alpine Surgical Arts Southeast Boise, LLC
3190 E Barber Valley Dr, Boise, ID 83716-4735 · (208) 344-9115
-
Northwest Oral Surgery LLC
3190 E Barber Valley Dr, Boise, ID 83716-4735 · (208) 344-9115