P Praxis·MD
● Active Type 2 · Organization

Idaho Center For Oral And Facial Surgery

Clinic/Center·Pocatello, ID· NPI 1558675298 · Enumerated 2010 · 15 years on NPI
Idaho Center For Oral And Facial Surgery is 1 of 11 clinic/center organizations in Idaho.
NPI age
15 years
Enumerated 2010-08-05
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dabell
Surgeon
Last NPPES update
2010-11-30
Source: monthly bulk 2026-05

How this organization compares

Across 11 active clinic/center providers in Idaho.

NPI age
15 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
177 Vista Dr
Pocatello, ID 832015824
📞 2082320232fax 2082322044
Mailing address
177 Vista Dr
Pocatello, ID 832015824
📞 2082320232fax 2082322044

Authorized official

Jeffrey C Dabell, DMD, MD
Surgeon
📞 2082320232

Specialties

  • Clinic/Center 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-4276-OS taxonomy 261QS0112X

Practice context

Single-site organization. Only one practice location on file.

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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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