Magic Valley Oral Surgery in Twin Falls - Oral And Maxillofacial Surgery
Magic Valley Oral Surgery - NPI 1073720009
Magic Valley Oral Surgery is a Oral And Maxillofacial Surgery in Twin Falls, Idaho. Magic Valley Oral Surgery practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Magic Valley Oral Surgery is 1073720009. The last update date is 2020-08-22.
Magic Valley Oral Surgery's current location address is 590 Falls Ave, Twin Falls, Idaho. You can contact this provider via phone number 2087343562 and fax number 2087368339. The mailing address for Magic Valley Oral Surgery is 590 Falls Ave, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Magic Valley Oral Surgery |
|---|---|
| Address | 590 Falls Ave, Twin Falls, Idaho |
| Phone Number | 2087343562 |
| Fax Number | 2087368339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNERPRESI |
|---|---|
| Authorized Official Name | Williams Lynn Vincent |
| Credentials | DMD |
| Telephone Number | 2087343562 |
NPI Number Detail
| NPI Number | 1073720009 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 590 Falls Ave |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833013314 |
| Phone Number | 2087343562 |
| Fax Number | 2087368339 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D1658 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Magic Valley Oral Surgery?
The Magic Valley Oral Surgery has been issued the NPI (National Provider Identifier) 1073720009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Magic Valley Oral Surgery is physically located?
The Magic Valley Oral Surgery is physically situated at the following address: 590 Falls Ave, Twin Falls, ID, 833013314.
What is Magic Valley Oral Surgery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Magic Valley Oral Surgery's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Magic Valley Oral Surgery receive its 1073720009 assignment from the Centers for Medicare & Medicaid Services?
The Magic Valley Oral Surgery was assigned its 1073720009 by the Centers for Medicare & Medicaid Services on 2007-05-17.
When was the information regarding Magic Valley Oral Surgery most recently updated?
The details pertaining to the Magic Valley Oral Surgery, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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