Organization · Type 2 NPI

Eagle Anesthesia & Oral Surgery PLLC

Dental Anesthesiology · Boise, ID

NPI number 1972333565 Active

Practice location

5266 N Eagle Rd
Boise, ID 83713-0945

Mailing address

37 W Archerfield St Ste 100
Meridian, ID 83646-7721

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004XNone 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.

3 other providers at this address

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About NPI 1972333565

Eagle Anesthesia & Oral Surgery PLLC's National Provider Identifier is 1972333565, issued on Aug 7, 2024. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Boise, ID. The record was last updated on Aug 7, 2024.