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NPISignal

Organization

Facial Oral and Dental Implant Surgery Associates, Inc.

NPI Record: ActiveDentist — Oral and Maxillofacial Surgery
NPI1003060591
Lewiston, Idaho

Provider's NPPES record last updated: April 14, 2011

Overview

Entity Type
Organization
NPI
1003060591
Primary Specialty
Dentist — Oral and Maxillofacial Surgery
Practice Location
Lewiston, Idaho
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 9:54 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Oral and Maxillofacial Surgery

    Dental Providers

    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.

    Taxonomy code 1223S0112X

Provider-Reported License Information

Dentist (Idaho)
D-4057
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3326 4th St Ste 2

Lewiston, Idaho 83501-4455

Phone: (208) 743-1640

Other Names

  • Oral and Facial SurgeryReported September 15, 2010

Record Information

Enumeration Date
November 10, 2008
Provider's NPPES Record Last Updated
April 14, 2011
NPISignal NPPES Dataset
August 2026

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