NPI age
16 years
Enumerated 2009-11-30
● Active Type 2 · Organization
Palouse Oral & Maxillofacial Surgery
Palouse Oral & Maxillofacial Surgery is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morrisn
Owner
Last NPPES update
2009-11-30
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
16 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-11Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
2301 W A St, Suite A
Moscow, ID 838434042
Mailing address
2301 W A St, Suite A
Moscow, ID 838434042
Authorized official
John Wallace Morrisn, D.M.D.
Owner
📞 2088820331
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Christina Cervieri, MD Specialist NPI 1164427423
- Leo Chough, MD Orthopaedic Surgery NPI 1053397901
- Marvin Kym, MD Orthopaedic Surgery NPI 1316932601
- John Morrison, D.M.D. Dentist NPI 1164567913
- Jason Phillips, PA-C Physician Assistant NPI 1992878946
- Timothy Rehnberg, PH.D. Psychologist NPI 1225155575
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1164567913 | NPI-PERSONAL |
Practice context
Multi-provider organization. 6 individual providers 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.