NPI age
5 years
Enumerated 2021-05-05
● Active Type 2 · Organization
Magic Valley Dental Anesthesia Pllc
Magic Valley Dental Anesthesia Pllc is 1 of 7 dentist organizations in Idaho.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Judd
Owner
Last NPPES update
2021-05-05
Source: monthly bulk 2026-05
How this organization compares
Across 7 active dentist providers in Idaho.
NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 57% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-05Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1411 Falls Ave E Ste 1000c
Twin Falls, ID 833013459
Mailing address
3245 S Brandenberg Ave
Eagle, ID 836164413
Authorized official
Ryan Judd, DMD
Owner
📞 5036799797
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Paul Johnson, DMD Dentist NPI 1871848598
- Ryan Nielson, DDS Dentist NPI 1558709527
- Andrew Richards, DDS Dentist NPI 1740643303
- Samuel Upton, D.D.S Dentist NPI 1376901785
Specialties
-
Dentist PrimaryA 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...
-
DentistAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Magic Valley Dental Anesthesia PLLC
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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