OrganizationActive
Elison Oral and Maxillofacial Surgery
NPI 1114255916 · Oral and Maxillofacial Surgery (Dentist) · Idaho Falls, ID
Provider details
- NPI number
- 1114255916
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Mark Elison, President(208) 524-3200
Specialties & taxonomies
Dental Providers
Practice location
2588 Channing Way
Idaho Falls, ID 83404-7515
Phone: (208) 524-3200
Approximate (ZIP-level) locationGet directions
Mailing address
1655 Coronado St
Idaho Falls, ID 83404-7467
Registry dates
- Enumerated
- 2009-12-07
- Last updated
- 2009-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.