Organization · Type 2 NPI
Idaho Advanced Dental Anesthesia, LLC
Dental Anesthesiology · Boise, ID
Practice location
1310 S Vista Ave Ste 21
Boise, ID 83705-2579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | None listed |
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.
Other dental anesthesiology providers in Boise
About NPI 1881529410
Idaho Advanced Dental Anesthesia, LLC's National Provider Identifier is 1881529410, issued on Jun 15, 2026. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Boise, ID. The record was last updated on Jun 15, 2026.