# TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boise Oral and Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013274661
- **Authorized official:** COLE W ANDERSON DMD, MS (OWNER)
- **Authorized official phone:** (208) 861-1689

## Contact information

- **Practice address:** 1000 N. CURTIS RD, SUITE 103, BOISE, ID 83706
- **Practice address phone:** (208) 343-0909
- **Practice address fax:** (208) 343-6282
- **Mailing address:** 1000 N. CURTIS RD, SUITE 103, BOISE, ID 83706
- **Mailing address phone:** (208) 343-0909
- **Mailing address fax:** (208) 343-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D4410 | ID | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | ID | Yes |

## Other

- **Enumeration date:** 04/20/2012
- **Last updated:** 09/06/2017