OrganizationActive
Teton Oms
NPI 1336036474 · Oral & Maxillofacial Surgery (D.M.D.) · Idaho Falls, ID
Provider details
- NPI number
- 1336036474
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Makell Clay, Practice Manager(208) 932-4600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
780 Bridgeport Dr
Idaho Falls, ID 83402-3370
Phone: (208) 932-4600
Fax: (208) 932-4601
Street-level locationGet directions
Mailing address
780 Bridgeport Dr
Idaho Falls, ID 83402-3370
Other names (DBA / former)
- Doing business as
- Snake River Surgical
Additional practice locations (1)
- 360 E Main StRexburg, ID 83440-2015Phone: (208) 932-4600Fax: (208) 932-4601
Registry dates
- Enumerated
- 2025-06-20
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.