TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC (NPI# 1013274661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013274661 |
| Entity Type | Organization |
| Organization Name | TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC |
| Other Organization Name | BOISE ORAL AND FACIAL SURGERY |
| Practice Address |
1000 N. Curtis Rd Suite 103 Boise ID 83706 |
| Practice Telephone | 2083430909 |
| Practice Fax Number | 2083436282 |
| Mailing Telephone | 2083430909 |
| Mailing Fax Number | 2083436282 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | COLE W ANDERSON (OWNER) |
| Authorized Official Telephone | 2088611689 |
| Authorized Official Credential | DMD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D4410 | ID | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
ID | Dental Providers |
| Other Name | Type Code |
|---|---|
| Boise Oral and Facial Surgery | Former Legal Business Name - Organization |
| Street Address |
1000 N. CURTIS RD SUITE 103 |
| City | BOISE |
| State | ID |
| Zip Code | 83706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124433743 | Arman Haghighi | Dentist | 403 S 11th St Ste 300, Boise, ID 83702-6968 | 2014-06-23 |
| 1790892610 | Bruce Morrison | Dentist | 6363 W Emerald St, Suite 103, Boise, ID 83704-8783 | 2006-08-24 |
| 1457378382 | Dean C. Younce, Dmd, Pa | Dentist | 5266 N Eagle Rd, Boise, ID 83713-0945 | 2006-07-16 |
| 1891727582 | Michael R Bailey | Dentist | 403 South 11th Street, Suite 300, Boise, ID 83702-6906 | 2006-07-06 |
| 1982650404 | Victor D Cook | Dentist | 7910 Ustick Rd, Boise, ID 83704-5850 | 2006-05-26 |
| 1104248053 | Whitewater Oral Surgery Group Pllc | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2014-01-13 |
| 1043657364 | Jake Allen Peterson | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2013-05-28 |
| 1699949750 | Boise Oral and Maxillofacial Surgery | Dentist | 6363 W Emerald St, Suite 103, Boise, ID 83704-8783 | 2008-04-18 |
| 1053584284 | Michael R Bailey Md Dds Pa | Dentist | 403 S 11th St, Suite 300, Boise, ID 83702-6968 | 2008-04-09 |
| 1811169733 | Dean Younce | Dentist | 5266 N Eagle Rd, Boise, ID 83713-0945 | 2008-04-01 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.