P Praxis·MD
● Active Type 1 · Individual

DR. Ryan W Judd, DMD

Dentist·Eagle, ID· NPI 1609946078 · Enumerated 2006 · 19 years on NPI
Judd is 1 of 1 dentist providers in Eagle and 1 of 7 in Idaho.
NPI age
19 years
Enumerated 2006-11-09
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-08-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7 active dentist providers in Idaho.

NPI age
19 years
↑ 14 yr above median (5 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
57% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
3245 S Brandenberg Ave
Eagle, ID 836164413
📞 5036799797
Mailing address
37 W Archerfield St Ste 100
Meridian, ID 836466587
📞 2083912894

Specialties

  • Dentist Primary
    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...
    ID license #D4613 taxonomy 1223D0004X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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