NPI age
16 years
Enumerated 2009-12-07
● Active Type 2 · Organization
Elison Oral And Maxillofacial Surgery
Elison Oral And Maxillofacial Surgery is 1 of 64 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Elison
President
Last NPPES update
2009-12-07
Source: monthly bulk 2026-05
How this organization compares
Across 64 active dentist providers in Idaho.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
2588 Channing Way
Idaho Falls, ID 834047515
Mailing address
1655 Coronado St
Idaho Falls, ID 834047467
Authorized official
Mark Turney Elison, DMD
President
📞 2085243200
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Lyle Munk, DDS Dentist NPI 1417034190
Specialties
-
Dentist PrimaryThe 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.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.