npidexNPI registry + Medicare data

TIMOTHY OBRIEN, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · BOISE, ID

Individual Active Opted out of Medicare NPI 1487910733

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓D-5013-OSID

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2025-10-06 through 2027-10-06.

Other Oral and Maxillofacial Surgery (Dentist) providers in Idaho

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.