Organization · Type 2 NPI
Idaho Dental Anesthesia PLLC
Dental Anesthesiology · Meridian, ID
Practice location
37 W Archerfield St Ste 100
Meridian, ID 83646-6587
Other practice locations
- 1550 E Heritage Park St, Meridian, ID 83646-6439 · (503) 679-9797
- 317 S River St, Hailey, ID 83333-8426 · (503) 679-9797
- 1411 Falls Ave E Ste 1000C, Twin Falls, ID 83301-3459 · (503) 679-9797
- 1408 Pomerelle Ave Ste D, Burley, ID 83318-2068 · (503) 679-9797
- 12190 W Evely Pines Ln, Star, ID 83669-6126 · (503) 679-9797
- 478 SW 12th St, Ontario, OR 97914-3202 · (503) 679-9797
- 136 E Mallard Dr, Boise, ID 83706-3975 · (503) 679-9797
- 1186 Eastland Dr N, Twin Falls, ID 83301-8973 · (503) 679-9797
- 1311 E Central Dr, Meridian, ID 83642-7991 · (503) 679-9797
- 1619 N Whitley Dr, Fruitland, ID 83619-2162 · (503) 679-9797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | D-4613 (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.
2 other providers at this address
About NPI 1629470141
Idaho Dental Anesthesia PLLC's National Provider Identifier is 1629470141, issued on Sep 17, 2014. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Meridian, ID. The record was last updated on Aug 12, 2020.