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Eagle Oral Surgery and Dental Implant Center Pllc

Oral and Maxillofacial Surgery (Dentist) in Eagle, ID · enumerated 2015 · authorized official Jeremy Hixson, Owner/Provider.

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

National Provider Identifier

1780074864

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Registry record

Entity type Organization (Type 2)
Legal business name Eagle Oral Surgery and Dental Implant Center Pllc
Practice address 197 W State St, Eagle, ID, 83616
Phone (208) 995-2865
Enumeration date Jan 28, 2015
Last updated in NPPES Jan 28, 2015

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License D-4617-OS (ID) Primary

Authorized official

Name Jeremy Hixson
Title Owner/Provider
Phone (208) 451-6584

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 Eagle Oral Surgery and Dental Implant Center Pllc?
The NPI for Eagle Oral Surgery and Dental Implant Center Pllc is 1780074864, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Eagle Oral Surgery and Dental Implant Center Pllc?
NPPES lists Jeremy Hixson (Owner/Provider) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-28.