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

Teton Oms

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1336036474

Teton Oms is an Oral & Maxillofacial Surgery (D.M.D.) in Idaho Falls, Idaho. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

780 Bridgeport Dr
Idaho Falls, ID 83402-3370
Phone: (208) 932-4600
Fax: (208) 932-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 360 E Main St, Rexburg, ID 83440-2015 — (208) 932-4600

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1336036474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Makell Clay — Practice Manager · (208) 932-4600
Other names Snake River Surgical
NPI enumeratedJune 20, 2025
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address780 Bridgeport Dr, Idaho Falls, ID 83402-3370