OrganizationActive
Oral Surgery Center of Idaho, PLLC
NPI 1841634581 · Oral and Maxillofacial Surgery Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1841634581
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Dabell, Oral Surgeon(208) 884-0100
- License
- D-4099-OS (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1550 N Crestmont Dr Ste G
Meridian, ID 83642-2177
Phone: (208) 884-0100
Fax: (208) 884-4844
Street-level locationGet directions
Mailing address
1550 N Crestmont Dr Ste G
Meridian, ID 83642-2177
Registry dates
- Enumerated
- 2013-04-24
- Last updated
- 2013-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.