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TREASURE VALLEY ORAL AND FACIAL SURGERY, PLLC

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Company Details

Name: TREASURE VALLEY ORAL AND FACIAL SURGERY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Feb 2012 (13 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 341825
Place of Formation: IDAHO
File Number: 341825
ZIP code: 83706
County: Ada County
Principal Address: 1000 N CURTIS RD STE 103 BOISE, ID 83706
Mailing Address: STE 103 1000 N CURTIS RD BOISE, ID 83706-1345

Agent

Name Role Address
COLE ANDERSON Agent 1000 N CURTIS RD #103, BOISE, ID 83706

Manager

Name Role Address Appointed On
Cole w Anderson Manager 1000 N. CURTIS RD, BOISE, ID 83706 2021-01-05

National Provider Identifier

NPI Number:
1013274661

Authorized Person:

Name:
COLE W ANDERSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
2083436282

Form 5500 Series

Employer Identification Number (EIN):
454670572
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006153668 2025-03-10
Annual Report 0005538928 2024-01-03
Annual Report 0005091031 2023-02-03
Dissolution/Revocation - Administrative 0004743765 2022-05-12
Application for Reinstatement 0004744590 2022-05-12

USAspending Awards / Financial Assistance

Date:
2020-06-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
0.00
Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
128870.52
Total Face Value Of Loan:
128870.52

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$128,870.52
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$128,870.52
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$130,025.06
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $128,870.52

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State