STEPHEN HOLM, DMD
Oral and Maxillofacial Surgery (Dentist) · LEWISTON, ID
Individual Active Opted out of Medicare NPI 1295993145
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | D-4057 | ID |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Opted out of Medicare (Maxillofacial Surgery), effective 2015-09-01 through 2027-09-01.
Other Oral and Maxillofacial Surgery (Dentist) providers in Idaho
- NPI 1003060591
- NPI 1265535066
- NPI 1124433743
- NPI 1306684600
- NPI 1699949750
- NPI 1154495802
- NPI 1841933108
- NPI 1790892610
See all Oral and Maxillofacial Surgery (Dentist) providers in Idaho →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.