P Praxis·MD
● Active Type 2 · Organization

Facial Oral And Dental Implant Surgery Associates, Inc.

Dentist·Lewiston, ID· NPI 1003060591 · Enumerated 2008 · 17 years on NPI
Facial Oral And Dental Implant Surgery Associates, Inc. is 1 of 64 dentist organizations in Idaho.
NPI age
17 years
Enumerated 2008-11-10
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holm
Owner
Last NPPES update
2011-04-14
Source: monthly bulk 2026-05

How this organization compares

Across 64 active dentist providers in Idaho.

NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-11Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
3326 4th St Ste 2
Lewiston, ID 835014455
📞 2087431640fax 2087431643
Mailing address
3326 4th St Ste 2
Lewiston, ID 835014455
📞 2087431640fax 2087431643

Authorized official

Stephen Wilford Holm, DMD
Owner
📞 2087431640

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    ID license #D-4057 taxonomy 1223S0112X

Identifiers

TypeValueNotes
05 (ID) 808116400
01 (ID) 9212066 IDAHO SMILES

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Oral and Facial Surgery
    Type code 3 recorded 2010-09-15

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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