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TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC NPI 1013274661


NPI Information

NPI: 1013274661
Provider Name: TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC

Former Legal Business Name: BOISE ORAL AND FACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1000 N. CURTIS RD
SUITE 103
BOISE, ID
ZIP 83706
Phone: (208) 343-0909
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TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC is an oral and maxillofacial surgery dentist in Boise, ID. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC NPI is 1013274661. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Boise Oral And Facial Surgery.

The provider's business location address is:

1000 N. CURTIS RD
SUITE 103
BOISE, ID
ZIP 83706
Phone: (208) 343-0909
Fax: (208) 343-6282

The provider's authorized official is Cole W Anderson .
The authorized official title is Owner and has the following contact phone number (208) 861-1689.

The enumeration date for this NPI number is 4/20/2012 and was last updated on 9/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryIDAHOYes
21223S0112XDentistOral and Maxillofacial SurgeryD4410IDAHONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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