Idaho Oral Surgery PLLC
NPI 1912172958 · Exclusive Provider Organization · Fruitland, ID
Idaho Oral Surgery PLLC is a Exclusive Provider Organization organization in Fruitland, ID (NPI 1912172958).
Provider details
- NPI number
- 1912172958
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Ryan Hillam, Surgeon(208) 452-4808
- License
- D3949OS (ID)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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)
- Former legal business name
- Center for Oral & Facial Surgery
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2010-04-19
Frequently asked questions
- What is Idaho Oral Surgery PLLC's NPI number?
- Idaho Oral Surgery PLLC's National Provider Identifier (NPI) is 1912172958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Oral Surgery PLLC?
- Idaho Oral Surgery PLLC is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Idaho Oral Surgery PLLC located?
- Idaho Oral Surgery PLLC's practice location on file with NPPES is 1820 N Whitley Dr, Fruitland, ID 83619-2163.
- What is Idaho Oral Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Oral Surgery PLLC is (208) 452-4808.
- Who is the authorized official for Idaho Oral Surgery PLLC?
- The authorized official listed on Idaho Oral Surgery PLLC's NPPES record is Ryan Hillam, Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Oral Surgery PLLC's NPI active?
- Yes — Idaho Oral Surgery PLLC's NPI (1912172958) is active in the NPPES registry as of the last update on 2010-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.