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IDAHO ADVANCED DENTAL ANESTHESIA, LLC
NPI 1881529410
Dentist - Dentist Anesthesiologist in Boise, ID

Active since June 15, 2026
1310 S VISTA AVE STE 21, BOISE, ID 83705(208) 559-5518 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Advanced Dental Anesthesia, Llc NPPES

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

IDAHO ADVANCED DENTAL ANESTHESIA, LLC (NPI 1881529410) is a healthcare organization registered as a dentist anesthesiologist in Boise, Idaho and active in the NPI registry since June 2026. The organization lists Jake Wood, Owner, as its authorized official.

NPPES Registry Identity

NPI1881529410
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameIDAHO ADVANCED DENTAL ANESTHESIA, LLC
Location Address1310 S VISTA AVE STE 21Boise, ID 83705-2579
Mailing Address1310 S Vista Ave Ste 21Boise, ID 83705-2579 · (208) 559-5518
Phone(208) 559-5518
Organization SubpartNo
Authorized OfficialJake WoodOwner · (801) 369-8569
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1881529410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
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.
1310 S VISTA AVE STE 21, Boise, ID 83705
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Other Names 1

Other NameIdaho Dental Sedation

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

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 Advanced Dental Anesthesia, LLC's NPI number?

The NPI number for Idaho Advanced Dental Anesthesia, LLC is 1881529410. It was assigned to this organization in the NPPES registry on June 15, 2026. The provider is also known as Idaho Dental Sedation.

Where is Idaho Advanced Dental Anesthesia, LLC located?

Idaho Advanced Dental Anesthesia, LLC is located at 1310 S Vista Ave Ste 21, Boise, ID 83705. The listed phone number is (208) 559-5518.

What is Idaho Advanced Dental Anesthesia, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Idaho Advanced Dental Anesthesia, LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.