IDAHO DENTAL ANESTHESIA PLLC is a dentist anesthesiologist dentist in Meridian, ID. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. IDAHO DENTAL ANESTHESIA PLLC NPI is 1629470141. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
37 W ARCHERFIELD ST STE 100
MERIDIAN, ID
ZIP 83646-587
Phone: (208) 391-2894
The provider's authorized official is Ryan W Judd .
The authorized official title is Dentist Anesthesiologist and has the following contact phone number (503) 679-9797.
The enumeration date for this NPI number is 9/17/2014 and was last updated on 8/12/2020.