NPI age
18 years
Enumerated 2008-04-29
● Active Type 2 · Organization
Idaho Oral Surgery Pllc
Idaho Oral Surgery Pllc is 1 of 5 exclusive provider organization organizations in Idaho.
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hillam
Surgeon
Last NPPES update
2010-04-19
Source: monthly bulk 2026-05
How this organization compares
Across 5 active exclusive provider organization providers in Idaho.
NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1820 N Whitley Dr
Fruitland, ID 836192163
Mailing address
1820 N Whitley Dr
Fruitland, ID 836192163
Authorized official
Ryan David Hillam, DDS
Surgeon
📞 2084524808
Specialties
-
Exclusive Provider Organization Primary(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 241342 | |
| 05 (ID) | 807651700 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CENTER FOR ORAL & FACIAL SURGERY
Practice context
Single-site organization. Only one practice location on file.
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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.