OrganizationActive
Clark Oral & Facial Surgery - Burley
NPI 1356133870 · Oral and Maxillofacial Surgery Clinic/Center · Burley, ID
Provider details
- NPI number
- 1356133870
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Clark Oral & Facial Surgery - Burley
- Organization subpart
- Yes
- Authorized official
- Durella Holmes, Practice Manager(208) 831-2900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1404 Pomerelle Ave Ste A2
Burley, ID 83318-2013
Phone: (208) 831-2901
Fax: (208) 736-6249
Street-level locationGet directions
Mailing address
1404 Pomerelle Ave Ste A2
Burley, ID 83318-2013
Other names (DBA / former)
- Doing business as
- Clark Oral & Facial Surgery, PC
Registry dates
- Enumerated
- 2025-05-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.