After completing a hospital based anesthesia residency, Dr. Pester established and sold both an office based anesthesia (OBA) dental practice and a fully certified dental ambulatory surgical center (ASC). He maintained the mobile anesthesia practice, Apex Anesthesia Services.

Dr. Pester is proud that all the practices listed above are still actively treating patients and serving their intended missions. The knowledge that Dr. Pester acquired establishing these diverse practices has given him an expertise in the intersection of dentistry and anesthesia as well as the intersection of private and publicly funded healthcare that is rare.

Whether you are a dentist looking for a better way to treat patients or a patient looking for a better way to be treated by your dentist, Dr. Pester and Apex Anesthesia Services look forward to serving you

Advancing his nursing career, Josh was accepted into the University of North Dakota where he earned his Masters of Science in Nurse Anesthesia in 1998.  Upon completion he returned to the hospital O.R. where he provided anesthesia alongside the surgical team.

Josh joined Apex in 2014 and has been providing the same skilled anesthesia one would receive in the hospital setting. He travels throughout Washington state bringing his skills and compassion right to the patients in their own dental offices. He prides himself on offering the safest anesthesia possible.  He is certified by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and is a member of the American Association of Nurse Anesthetists (AANA).

Working with Apex Anesthesia offers Kent the opportunity to do what he enjoys most – helping patients be as comfortable as possible in what can be a stressful situation. And, being able to have the procedure with their own dentist at a known facility while tailoring the experience to their personal needs.

Professional Experience

-UCLA Program of Nurse Anesthesia
-UCLA Clinical Faculty
-Health Science Curriculum and Respiratory Therapy Clinical Faculty Weber State University
-Published articles in Respiratory Therapy and Nurse Anesthesia journals
-Invited lecturer at Nursing, Respiratory Therapy, and Anesthesia programs/conferences

Certifications & Affiliations

-American Association of Nurse Anesthetists
-Washington Association of Nurse Anesthetists
-BLS, NRP, PALS, ACLS certified

Community Service

-Former BLS, PALS, ACLS instructor
-Former Boy Scouts of America survival trainer
-Former respiratory care home health instructor

She has been provided anesthesia services for Apex Anesthesia since 2017. She is certified by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and is a member of the American Association of Nurse Anesthetists (AANA) and on the board of directors of the Washington Association of Nurse Anesthetists (WANA). She is an adjunct professor at Gonzaga University regarding the education of the doctorate nurse anesthesia graduates specifically teaching Neuro anesthesia and OB anesthesia. She provides safe and cost-effective anesthesia care for every patient.

Tobias continues to provide high quality, evidence-based anesthesia services to a diverse patient population. Tobias is a certified registered nurse anesthetist with over ten years of nursing experience in critical care, including: post-operative thoracic surgery, heart failure, heart transplant, interventional cardiology and trauma. He has experience in the administration of general anesthesia and monitored anesthesia care for general surgery, ENT, thoracic, cardiac, vascular, pediatric, neuro, trauma, orthopedic, oral surgery, special procedures, plastic surgery, GU and OB cases on all ASA classifications.