OrganizationActive
Magic Valley Oral Surgery
NPI 1073720009 · Oral and Maxillofacial Surgery (Dentist) · Twin Falls, ID
Provider details
- NPI number
- 1073720009
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Vincent Williams, Ownerpresident(208) 734-3562
- License
- D1658 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
590 Falls Ave
Twin Falls, ID 83301-3314
Phone: (208) 734-3562
Fax: (208) 736-8339
Street-level locationGet directions
Mailing address
590 Falls Ave
Twin Falls, ID 83301-3314
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.