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Canyon County Oral Maxillofacial Surgery, Inc

Oral and Maxillofacial Pathology Dentistry in Caldwell, ID · enumerated 2007 · authorized official Nicholas Massoth, Oral Surgeon.

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

National Provider Identifier

1710184783

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Registry record

Entity type Organization (Type 2)
Legal business name Canyon County Oral Maxillofacial Surgery, Inc
Other name <Unavail>
Practice address 4121 Clock Tower Ave, Caldwell, ID, 83607
Enumeration date Jul 2, 2007
Last updated in NPPES Jul 10, 2007

Taxonomy & classification

1223P0106X Oral and Maxillofacial Pathology Dentistry Dental Providers · License D3848OS (ID) Primary

Authorized official

Name Nicholas Massoth
Title Oral Surgeon

Other identifiers

Identifier Type State Issuer
10149985 Other ID REGENCE BLUE SHIELD
1783151 Other ID UNITED CONCORDIA
6L859 Other ID BLUE CROSS OF ID

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

Who is the authorized official for Canyon County Oral Maxillofacial Surgery, Inc?
NPPES lists Nicholas Massoth (Oral Surgeon) as the authorized official for this organization.
What is the NPI number for Canyon County Oral Maxillofacial Surgery, Inc?
The NPI for Canyon County Oral Maxillofacial Surgery, Inc is 1710184783, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-10.