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Contact Information

TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC
1000 N. CURTIS RD
SUITE 103
BOISE, ID83706
 Phone: 208-343-0909
 Fax: 208-343-6282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC

NPI Number 1013274661
LBN Legal business name TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC
Authorized official COLE ANDERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2012
Last updated 09/06/2017 - About 9 years ago
Identifiers
ID License # D4410
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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