Canyon County Oral Maxillofacial Surgery, Inc
NPI 1710184783 · Oral and Maxillofacial Pathology Dentistry · Caldwell, ID
Canyon County Oral Maxillofacial Surgery, Inc is a Oral and Maxillofacial Pathology Dentistry organization in Caldwell, ID (NPI 1710184783).
Provider details
- NPI number
- 1710184783
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nicholas Massoth, Oral Surgeon(208) 459-7800
- License
- D3848OS (ID)
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Canyon County Oral Maxillofacial Surgery
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2007-07-10
Frequently asked questions
- What is Canyon County Oral Maxillofacial Surgery, Inc's NPI number?
- Canyon County Oral Maxillofacial Surgery, Inc's National Provider Identifier (NPI) is 1710184783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon County Oral Maxillofacial Surgery, Inc?
- Canyon County Oral Maxillofacial Surgery, Inc is classified in the NPPES registry as Oral and Maxillofacial Pathology Dentistry (Dental Providers).
- Where is Canyon County Oral Maxillofacial Surgery, Inc located?
- Canyon County Oral Maxillofacial Surgery, Inc's practice location on file with NPPES is 4121 Clock Tower Ave, Caldwell, ID 83607-5006.
- What is Canyon County Oral Maxillofacial Surgery, Inc's phone number?
- The practice phone number listed in the NPPES registry for Canyon County Oral Maxillofacial Surgery, Inc is (208) 459-7800.
- Who is the authorized official for Canyon County Oral Maxillofacial Surgery, Inc?
- The authorized official listed on Canyon County Oral Maxillofacial Surgery, Inc's NPPES record is Nicholas Massoth, Oral Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon County Oral Maxillofacial Surgery, Inc's NPI active?
- Yes — Canyon County Oral Maxillofacial Surgery, Inc's NPI (1710184783) is active in the NPPES registry as of the last update on 2007-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.