OrganizationActive
Eagle Anesthesia & Oral Surgery PLLC
NPI 1972333565 · Dental Anesthesiology · Boise, ID
Provider details
- NPI number
- 1972333565
- Entity type
- Organization
- Primary specialty
- Dental AnesthesiologyDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Judd, Dentist Anesthesiologist(503) 679-9797
Specialties & taxonomies
Dental Providers
Practice location
5266 N Eagle Rd
Boise, ID 83713-0945
Phone: (503) 679-9797
Approximate (ZIP-level) locationGet directions
Mailing address
37 W Archerfield St Ste 100
Meridian, ID 83646-7721
Registry dates
- Enumerated
- 2024-08-07
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.