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

Jake A Wood

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073260311

Jake A Wood is a Student in an Organized Health Care Education/Training Program in Meridian, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
Specialties on file
2

Practice location Address checks out

37 W Archerfield St Ste 100
Meridian, ID 83646-6587
Phone: (801) 369-8569
Show map & directions

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

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X · Licence 7571345 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073260311
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2022
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address5760 S Hakkasan Ave, Boise, ID 83716-8803

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