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EAGLE ANESTHESIA & ORAL SURGERY PLLC
NPI 1972333565
Dentist - Dentist Anesthesiologist in Boise, ID

Active since August 07, 2024
5266 N EAGLE RD, BOISE, ID 83713(503) 679-9797 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Anesthesia & Oral Surgery Pllc NPPES

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

EAGLE ANESTHESIA & ORAL SURGERY PLLC (NPI 1972333565) is a healthcare organization registered as a dentist anesthesiologist in Boise, Idaho and active in the NPI registry since August 2024. The organization lists Ryan Judd, Dentist Anesthesiologist, as its authorized official.

NPPES Registry Identity

NPI1972333565
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameEAGLE ANESTHESIA & ORAL SURGERY PLLC
Location Address5266 N EAGLE RDBoise, ID 83713-0945
Mailing Address37 W Archerfield St Ste 100Meridian, ID 83646-7721 · (503) 679-9797
Phone(503) 679-9797
Organization SubpartNo
Authorized OfficialRyan JuddDentist Anesthesiologist · (503) 679-9797
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1972333565 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.
5266 N EAGLE RD, Boise, ID 83713
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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

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.

DEAN C. YOUNCE, DMD, PA
Dentist (Oral and Maxillofacial Surgery)
5266 N EAGLE RD
BOISE, ID 83713
Ada County (208) 939-4242
DR. DEAN YOUNCE DMD
Dentist (Oral and Maxillofacial Surgery)
5266 N EAGLE RD
BOISE, ID 83713
Ada County (208) 939-4242

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 Eagle Anesthesia & Oral Surgery PLLC's NPI number?

The NPI number for Eagle Anesthesia & Oral Surgery PLLC is 1972333565. It was assigned to this organization in the NPPES registry on August 7, 2024.

Where is Eagle Anesthesia & Oral Surgery PLLC located?

Eagle Anesthesia & Oral Surgery PLLC is located at 5266 N Eagle Rd, Boise, ID 83713. The listed phone number is (503) 679-9797.

What is Eagle Anesthesia & Oral Surgery PLLC'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 Eagle Anesthesia & Oral Surgery PLLC was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.