Organization
UTAH DENTAL ANESTHESIA PLLC
Active
Organization
UTAH DENTAL ANESTHESIA PLLC
Active
Parent organization
IDAHO ADVANCED DENTAL ANESTHESIA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO ADVANCED DENTAL ANESTHESIA, LLC
Authorized official
DR. JAKE WOOD DMD, MPH (OWNER)
(208) 559-5518
Entity
Organization
Contact information
Practice address
1028 W 950 N STE 102, OREM, UT 84057-4171
(208) 559-5518
Mailing address
1310 S VISTA AVE, SUITE 21, BOISE, ID 83705
(208) 559-5518
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up