NPI age
18 years
Enumerated 2007-12-05
● Active Type 2 · Organization
Facial & Oral Surgery Associates, Inc.
Facial & Oral Surgery Associates, Inc. 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
Stuart
Office Administrator
Last NPPES update
2010-06-16
Source: monthly bulk 2026-05
How this organization compares
Across 64 active dentist providers in Idaho.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
165 N 14th Ave
Pocatello, ID 832014146
Mailing address
Po Box 6033
Pocatello, ID 832056033
Authorized official
Wende Stuart
Office Administrator
📞 2082322807
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mark Baker, D.D.S. Dentist NPI 1184798811
- Brent Lee, D.D.S., M.S. Dentist NPI 1154495802
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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 190005336 | RAILROAD MEDICARE |
| 01 (ID) | 190009031 | RAILROAD MEDICARE |
| 05 (ID) | 805112100 | |
| 05 (ID) | 805112200 | |
| 05 (ID) | 805177600 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 64 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.