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TREASURE VALLEY DENTAL ANESTHESIA AND SURGICAL PLLC NPI 1114500543


NPI Information

NPI: 1114500543
Provider Name: TREASURE VALLEY DENTAL ANESTHESIA AND SURGICAL PLLC

Doing Business As: TREASURE VALLEY ANESTHESIA AND SURGICAL PLLC

Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
1000 N CURTIS RD STE 103
BOISE, ID
ZIP 83706
Phone: (208) 994-6227
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TREASURE VALLEY DENTAL ANESTHESIA AND SURGICAL PLLC is a dentist anesthesiologist dentist in Boise, ID. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. TREASURE VALLEY DENTAL ANESTHESIA AND SURGICAL PLLC NPI is 1114500543. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Treasure Valley Anesthesia And Surgical Pllc.

The provider's business location address is:

1000 N CURTIS RD STE 103
BOISE, ID
ZIP 83706-345
Phone: (208) 994-6227

The provider's authorized official is Ryan Judd .
The authorized official title is Owner and has the following contact phone number (208) 343-0909.

The enumeration date for this NPI number is 5/3/2021 and was last updated on 5/4/2021.


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
11223D0004XDentistDentist AnesthesiologistYes
21223S0112XDentistOral and Maxillofacial SurgeryNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.