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Dr. Ryan W Judd, DMD
Dentist Anesthesiologist in Eagle, Idaho
NPI 1609946078

Ryan W Judd is a Dentist Anesthesiologist based in Meridian, ID and is specialized in Dentist Anesthesiologist. Ryan W Judd practices in Eagle, ID and has the professional credentials of DMD. The NPI Number for Ryan W Judd is 1609946078 and holds a License No. D4613 (Idaho).

The current practice location address for Ryan W Judd is 3245 S Brandenberg Ave, Eagle, ID and can be reached out via phone at 503-679-9797.

Location: 3245 S Brandenberg Ave, Eagle, ID, 83646-6587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609946078
Provider Name
Ryan W Judd
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3245 S Brandenberg Ave, Eagle, ID, 83646-6587
Phone Number
503-679-9797
Fax Number
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3245 S Brandenberg Ave
City
Eagle
State
Idaho
Zip
83616-4413
Phone Number
503-679-9797
Fax Number
person
Provider Business Mailing Address Details
Address
3245 S Brandenberg Ave
City
Eagle
State
Idaho
Zip
83616-4413
Phone Number
503-679-9797
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
D4613 (Idaho)
Definition
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.
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