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

Idaho Advanced Dental Anesthesia, LLC

Organization Dental Anesthesiology · NPI 1881529410

Idaho Advanced Dental Anesthesia, LLC is a Dental Anesthesiology in Boise, Idaho. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1310 S Vista Ave Ste 21
Boise, ID 83705-2579
Phone: (208) 559-5518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X

Record details

NPI number1881529410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jake Wood — Owner · (801) 369-8569
Other names Idaho Dental Sedation
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1310 S Vista Ave Ste 21, Boise, ID 83705-2579

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