OrganizationActive
Magic Valley Dental Anesthesia PLLC
NPI 1346824422 · Dental Anesthesiology · Twin Falls, ID
Provider details
- NPI number
- 1346824422
- Entity type
- Organization
- Primary specialty
- Dental AnesthesiologyDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Judd, Owner(503) 679-9797
Specialties & taxonomies
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
Practice location
1411 Falls Ave E Ste 1000c
Twin Falls, ID 83301-3459
Phone: (208) 734-7415
Approximate (ZIP-level) locationGet directions
Mailing address
3245 S Brandenberg Ave
Eagle, ID 83616-4413
Other names (DBA / former)
- Doing business as
- Magic Valley Dental Anesthesia PLLC
Registry dates
- Enumerated
- 2021-05-05
- Last updated
- 2021-05-05
- Certified
- 2021-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.