P Praxis·MD
● Active Type 2 · Organization

Eagle Anesthesia & Oral Surgery Pllc

Dentist·Boise, ID· NPI 1972333565 · Enumerated 2024 · 1 years on NPI
Eagle Anesthesia & Oral Surgery Pllc is 1 of 7 dentist organizations in Idaho.
NPI age
1 years
Enumerated 2024-08-07
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Judd
Dentist Anesthesiologist
Last NPPES update
2024-08-07
Source: monthly bulk 2026-05

How this organization compares

Across 7 active dentist providers in Idaho.

NPI age
1 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-08Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
5266 N Eagle Rd
Boise, ID 837130945
📞 5036799797
Mailing address
37 W Archerfield St Ste 100
Meridian, ID 836467721
📞 5036799797

Authorized official

Ryan Judd, DMD
Dentist Anesthesiologist
📞 5036799797

Individual providers at this organization

1 individual provider on file at this primary practice address.

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...
    taxonomy 1223D0004X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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