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Clark Oral & Facial Surgery - Burley

Oral and Maxillofacial Surgery Clinic/Center in Burley, ID · enumerated 2025 · authorized official Durella Holmes, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356133870

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Registry record

Entity type Organization (Type 2)
Legal business name Clark Oral & Facial Surgery - Burley
Parent organization Clark Oral & Facial Surgery - Burley
Practice address 1404 Pomerelle Ave Ste A2, Burley, ID, 83318
Phone (208) 831-2901
Fax (208) 736-6249
Enumeration date May 20, 2025
Last updated in NPPES May 20, 2025

Taxonomy & classification

261QS0112X Oral and Maxillofacial Surgery Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Durella Holmes
Title Practice Manager
Phone (208) 831-2900

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Clark Oral & Facial Surgery - Burley?
The NPI for Clark Oral & Facial Surgery - Burley is 1356133870, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clark Oral & Facial Surgery - Burley?
NPPES lists Durella Holmes (Practice Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-20.