Jake Wood

NPI 1073260311 · on the registry since 2022 · sole proprietor

Practice

Address: 37 W Archerfield St Ste 100
Meridian, ID 83646
Phone: (801) 369-8569
Organisation at this address: Idaho Dental Anesthesia Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Dental Anesthesiology
1223D0004X
Also registered as: Student in an Organized Health Care Education/Training Program
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho