# ROOT & BRANCH ANESTHESIA P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528879129
- **Authorized official:** AUSTEN WEEKS DDS (OWNER)
- **Authorized official phone:** (208) 313-2202

## Contact information

- **Practice address:** 3335 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
- **Practice address phone:** (208) 524-3770
- **Mailing address:** 1395 E LAZY LN, IDAHO FALLS, ID 83404-7784
- **Mailing address phone:** (208) 313-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2025
- **Last updated:** 05/01/2025
