OrganizationActive
Facial Oral and Dental Implant Surgery Associates, Inc.
NPI 1003060591 · Oral and Maxillofacial Surgery (Dentist) · Lewiston, ID
Provider details
- NPI number
- 1003060591
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Stephen Holm, Owner
- License
- D-4057 (ID)
Practice location
3326 4th St Ste 2
Lewiston, ID 83501-4455
Phone: (208) 743-1640
Fax: (208) 743-1643
Mailing address
3326 4th St Ste 2
Lewiston, ID 83501-4455
Registry dates
- Enumerated
- 2008-11-10
- Last updated
- 2011-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.