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Treasure Valley Dental Anesthesia and Surgical PLLC

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Company Details

Name: Treasure Valley Dental Anesthesia and Surgical PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 May 2021 (4 years ago)
Financial Date End: 31 May 2026
Entity Number: 4261064
Place of Formation: IDAHO
File Number: 761406
ZIP code: 83706
County: Ada County
Principal Address: SUITE 103 1000 N CURTIS RD BOISE, ID 83706
Mailing Address: STE 103 1000 N CURTIS RD BOISE, ID 83706-1345

Agent

Name Role Address
RYAN JUDD Agent 37 W ARCHERFIELD ST, 100, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Ryan Judd Manager 37 W ARCHERFIELD STREET, MERIDIAN, ID 83646 2022-04-11

National Provider Identifier

NPI Number:
1114500543
Certification Date:
2021-05-04

Authorized Person:

Name:
RYAN JUDD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223D0004X - Dentist Anesthesiologist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006185900 2025-04-03
Annual Report 0005771181 2024-06-10
Annual Report Amendment 0005476931 2023-11-13
Annual Report 0005218993 2023-05-03
Annual Report 0004695069 2022-04-11

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State