OrganizationActive
Idaho Dental Anesthesia PLLC
NPI 1629470141 · Dental Anesthesiology · Meridian, ID
Provider details
- NPI number
- 1629470141
- Entity type
- Organization
- Primary specialty
- Dental AnesthesiologyDental Providers
- Authorized official
- Ryan Judd, Dentist Anesthesiologist
- License
- D-4613 (ID)
Practice location
37 W Archerfield St Ste 100
Meridian, ID 83646-6587
Phone: (208) 391-2894
Mailing address
37 W Archerfield St Ste 100
Meridian, ID 83646-6587
Registry dates
- Enumerated
- 2014-09-17
- Last updated
- 2020-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.