Eagle Oral Surgery and Dental Implant Center PLLC
NPI 1780074864 · Oral and Maxillofacial Surgery (Dentist) · Eagle, ID
Eagle Oral Surgery and Dental Implant Center PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Eagle, ID (NPI 1780074864).
Provider details
- NPI number
- 1780074864
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jeremy Hixson, Owner/Provider(208) 451-6584
- License
- D-4617-OS (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
11 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
Registry dates
- Enumerated
- 2015-01-28
- Last updated
- 2015-01-28
Frequently asked questions
- What is Eagle Oral Surgery and Dental Implant Center PLLC's NPI number?
- Eagle Oral Surgery and Dental Implant Center PLLC's National Provider Identifier (NPI) is 1780074864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Oral Surgery and Dental Implant Center PLLC?
- Eagle Oral Surgery and Dental Implant Center PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Eagle Oral Surgery and Dental Implant Center PLLC located?
- Eagle Oral Surgery and Dental Implant Center PLLC's practice location on file with NPPES is 197 W State St, Eagle, ID 83616-4959.
- What is Eagle Oral Surgery and Dental Implant Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Eagle Oral Surgery and Dental Implant Center PLLC is (208) 995-2865.
- Who is the authorized official for Eagle Oral Surgery and Dental Implant Center PLLC?
- The authorized official listed on Eagle Oral Surgery and Dental Implant Center PLLC's NPPES record is Jeremy Hixson, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Oral Surgery and Dental Implant Center PLLC's NPI active?
- Yes — Eagle Oral Surgery and Dental Implant Center PLLC's NPI (1780074864) is active in the NPPES registry as of the last update on 2015-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.