A laterally diffused metal oxide semiconductor (LDMOS) device includes a substrate having a p-epi layer thereon, a p-body region in the p-epi layer and an ndrift (NDRIFT) region within the p-body to provide a drain extension region. A gate stack includes a gate dielectric layer over a channel region in the p-body region adjacent to and on respective sides of a junction with the NDRIFT region. A patterned gate electrode is on the gate dielectric. A DWELL region is within the p-body region. A source region is within the DWELL region, and a drain region is within the NDRIFT region. An effective channel length (Leff) for the LDMOS device is 75 nm to 150 nm which evidences a DWELL implant that utilized an edge of the gate electrode to delineate an edge of a DWELL ion implant so that the DWELL region is self-aligned to the gate electrode.