Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Anesthesia & Oral Surgery PLLC

Organization Dental Anesthesiology · NPI 1972333565

Eagle Anesthesia & Oral Surgery PLLC is a Dental Anesthesiology in Boise, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5266 N Eagle Rd
Boise, ID 83713-0945
Phone: (503) 679-9797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X

Record details

NPI number1972333565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Judd — Dentist Anesthesiologist · (503) 679-9797
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address37 W Archerfield St Ste 100, Meridian, ID 83646-7721

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