NPI age
— years
Enumerated 2025-06-20
● Active Type 2 · Organization
Teton Oms
Teton Oms is 1 of 7 oral & maxillofacial surgery organizations in Idaho.
Primary specialty
Oral & Maxillofacial Surgery
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Clay
Practice Manager
Last NPPES update
2025-07-18
Source: monthly bulk 2026-05
How this organization compares
Across 7 active oral & maxillofacial surgery providers in Idaho.
NPI age
0 years
↓ 11 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 71% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-06Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
780 Bridgeport Dr
Idaho Falls, ID 834023370
Mailing address
780 Bridgeport Dr
Idaho Falls, ID 834023370
Additional practice locations
1 secondary location on file with NPPES.
Location 2
360 E Main St
Rexburg, ID 834402015
Authorized official
Makell Clay
Practice Manager
📞 2089324600
Specialties
-
Oral & Maxillofacial Surgery PrimaryOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
-
Clinic/CenterThe 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SNAKE RIVER SURGICAL
Practice context
Multi-site organization. 1 additional practice location on file.
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