NPI age
11 years
Enumerated 2014-09-17
● Active Type 2 · Organization
Idaho Dental Anesthesia Pllc
Idaho Dental Anesthesia Pllc is 1 of 7 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
11
10 secondary on file
Status
Active
No deactivations on record
Authorized official
Judd
Dentist Anesthesiologist
Last NPPES update
2020-08-12
Source: monthly bulk 2026-05
How this organization compares
Across 7 active dentist providers in Idaho.
NPI age
11 years
↑ 6 yr above median
Practice locations
11
10 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-09Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
37 W Archerfield St Ste 100
Meridian, ID 836466587
Mailing address
37 W Archerfield St Ste 100
Meridian, ID 836466587
Additional practice locations
10 secondary locations on file with NPPES.
Location 2
1186 Eastland Dr N
Twin Falls, ID 833018973
Location 3
317 S River St
Hailey, ID 833338426
Location 4
1411 Falls Ave E Ste 1000c
Twin Falls, ID 833013459
Location 5
1408 Pomerelle Ave Ste D
Burley, ID 833182068
Location 6
12190 W Evely Pines Ln
Star, ID 836696126
Location 7
478 Sw 12th St
Ontario, OR 979143202
Location 8
136 E Mallard Dr
Boise, ID 837063975
Location 9
1550 E Heritage Park St
Meridian, ID 836466439
Location 10
1311 E Central Dr
Meridian, ID 836427991
Location 11
1619 N Whitley Dr
Fruitland, ID 836192162
Authorized official
Ryan W Judd, DMD
Dentist Anesthesiologist
📞 5036799797
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Randall Blair, DMD Dentist NPI 1659546174
- Jake Wood Dentist NPI 1073260311
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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 10 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.