Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ELISON ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
ELISON ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK TURNEY ELISON DMD (PRESIDENT)
(208) 524-3200
Entity
Organization
Contact information
Practice address
2588 CHANNING WAY, IDAHO FALLS, ID 83404-7515
(208) 524-3200
Mailing address
1655 CORONADO ST, IDAHO FALLS, ID 83404-7467
(208) 529-0634
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers