IndividualActive
Ryan Judd, DMD
NPI 1609946078 · Dental Anesthesiology · Eagle, ID
Provider details
- NPI number
- 1609946078
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D4613 (ID)
Mailing address
37 W Archerfield St Ste 100
Meridian, ID 83646-6587
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2022-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.