Ryan W Judd is a Dentist Anesthesiologist in Eagle, Idaho. Ryan W Judd practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for Ryan W Judd is 1609946078. The last update date is 2022-08-30.
Ryan W Judd's current location address is 3245 S Brandenberg Ave, Eagle, Idaho. You can contact this provider via phone number 5036799797. The mailing address for Ryan W Judd is 3245 S Brandenberg Ave, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ryan W Judd |
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Address | 3245 S Brandenberg Ave, Eagle, Idaho |
Phone Number | 5036799797 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1609946078 |
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Provider Enumeration Date | 2006-11-09 |
Last Updated Date | 2022-08-30 |
Provider Mailing Address Detail
Address | 3245 S Brandenberg Ave |
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City | Eagle |
State | Idaho (ID) |
Post Code | 836164413 |
Phone Number | 5036799797 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist Anesthesiologist |
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Taxonomy | 1223D0004X |
Licence No | D4613 |
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 Residenc |
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What is the unique identification code assigned to Ryan W Judd by the Centers for Medicare & Medicaid Services?
The Ryan W Judd has been issued the NPI (National Provider Identifier) 1609946078. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ryan W Judd is physically located?
The Ryan W Judd is situated at the following address: 3245 S Brandenberg Ave, Eagle, ID 836164413.
What is the area of specialization for Ryan W Judd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ryan W Judd is Dentist Anesthesiologist, and the corresponding taxonomy code that categorizes this area of expertise is 1223D0004X.
On what date did Ryan W Judd receive its 1609946078 assignment from the Centers for Medicare & Medicaid Services?
The Ryan W Judd was assigned its 1609946078 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Ryan W Judd's information last updated?
The Ryan W Judd's information was last updated on 2022-08-30.
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