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

Whitewater Woodriver Oral Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1790202810

Whitewater Woodriver Oral Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Hailey, Idaho. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

400 S Main St Ste 202
Hailey, ID 83333-8856
Phone: (208) 788-5308
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 number1790202810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Berry — Manager · (208) 788-5308
NPI enumeratedAugust 29, 2017
Last updated in NPPESJuly 21, 2022
Mailing address400 S Main St Ste 202, Hailey, ID 83333-8856