Individual provider · Type 1 NPI
Ryan W. Judd, DMD
Dental Anesthesiology · Eagle, ID
Practice location
3245 S Brandenberg Ave
Eagle, ID 83616-4413
Mailing address
37 W Archerfield St Ste 100
Meridian, ID 83646-6587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | D4613 (ID) |
Dental Anesthesiology: 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.
About NPI 1609946078
Ryan W. Judd, DMD's National Provider Identifier is 1609946078, issued on Nov 9, 2006. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Eagle, ID. The record was last updated on Aug 30, 2022.