# BOISE TOWNE SQUARE DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346689866
- **Authorized official:** MR. RYAN LEE OLSON DDS (DR./OWNER)
- **Authorized official phone:** (208) 639-4390

## Contact information

- **Practice address:** 7677 W. EMERALD, BOISE, ID 83704
- **Practice address phone:** (208) 639-4390
- **Practice address fax:** (208) 639-4393
- **Mailing address:** 7677 W. EMERALD, BOISE, ID 83704
- **Mailing address phone:** (208) 639-4390
- **Mailing address fax:** (208) 639-4393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D4485 | ID | Yes |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 06/18/2013