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IDAHO DENTAL ANESTHESIA PLLC
NPI 1629470141
Dentist - Dentist Anesthesiologist in Meridian, ID

Active since September 17, 2014
37 W ARCHERFIELD ST STE 100, MERIDIAN, ID 83646(208) 391-2894 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2020, Jan 15, 2016 (2 updates tracked since 2016).

About Idaho Dental Anesthesia Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO DENTAL ANESTHESIA PLLC (NPI 1629470141) is a healthcare organization registered as a dentist anesthesiologist in Meridian, Idaho and active in the NPI registry since September 2014. The organization maintains 10 additional practice locations and lists Ryan W Judd, Dentist Anesthesiologist, as its authorized official.

NPPES Registry Identity

NPI1629470141
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameIDAHO DENTAL ANESTHESIA PLLC
Location Address37 W ARCHERFIELD ST STE 100Meridian, ID 83646-6587
Mailing Address37 W Archerfield St Ste 100Meridian, ID 83646-6587 · (208) 391-2894
Phone(208) 391-2894
Organization SubpartNo
Authorized OfficialRyan W JuddDentist Anesthesiologist · (503) 679-9797
Enumeration DateSeptember 17, 2014
Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1629470141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in ID · D-4613
Definition
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.
37 W ARCHERFIELD ST STE 100, Meridian, ID 83646
Open in Google Maps ↗

Secondary Practice Locations 10

Location 11550 E Heritage Park StMeridian, ID 83646-6439 · Phone (503) 679-9797
Location 2317 S River StHailey, ID 83333-8426 · Phone (503) 679-9797
Location 31411 Falls Ave E Ste 1000CTwin Falls, ID 83301-3459 · Phone (503) 679-9797
Location 41408 Pomerelle Ave Ste DBurley, ID 83318-2068 · Phone (503) 679-9797
Location 512190 W Evely Pines LnStar, ID 83669-6126 · Phone (503) 679-9797
Location 6478 SW 12th StOntario, OR 97914-3202 · Phone (503) 679-9797
Location 7136 E Mallard DrBoise, ID 83706-3975 · Phone (503) 679-9797
Location 81186 Eastland Dr NTwin Falls, ID 83301-8973 · Phone (503) 679-9797
Location 91311 E Central DrMeridian, ID 83642-7991 · Phone (503) 679-9797
Location 101619 N Whitley DrFruitland, ID 83619-2162 · Phone (503) 679-9797

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAKE A WOOD
Dentist (Dentist Anesthesiologist)
37 W ARCHERFIELD ST STE 100
MERIDIAN, ID 83646
Ada County (801) 369-8569
DR. RANDALL PARLEY BLAIR DMD
Dentist (Pediatric Dentistry)
37 W ARCHERFIELD ST STE 100
MERIDIAN, ID 83646
Ada County (208) 938-9958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Dental Anesthesia PLLC's NPI number?

The NPI number for Idaho Dental Anesthesia PLLC is 1629470141. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Idaho Dental Anesthesia PLLC located?

Idaho Dental Anesthesia PLLC is located at 37 W Archerfield St Ste 100, Meridian, ID 83646. The listed phone number is (208) 391-2894.

What is Idaho Dental Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

What insurance does Idaho Dental Anesthesia PLLC accept?

Health plans from Moda Health Plan, Inc. list Idaho Dental Anesthesia PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Dental Anesthesia PLLC was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.