| Donald E Larson DMD PC | |
|
700 E State St Suite 100 Eagle ID 83616 | |
| (208) 939-3500 | |
| (208) 939-3837 |
| Full Name | Donald E Larson DMD PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 E State St, Eagle, Idaho |
| Authorized Official Name and Position | Donald E Larson (PRESIDENT) |
| Authorized Official Contact | 2089391570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E Larson DMD PC 5919 N Lilybrook Pl Boise ID 83713 Ph: (208) 939-1570 | Donald E Larson DMD PC 700 E State St Suite 100 Eagle ID 83616 Ph: (208) 939-3500 |
| NPI Number | 1417055062 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417055062 | NPI | - | NPPES |
| 8061442 | Medicaid | ID | |
| CS9245 | Other | ID | ID STATE BOARD OF PHARM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3551 (Idaho) | Primary |
Lighthouse Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 N Eagle Rd, Eagle, ID 83616 Phone: 208-939-3010 Fax: 208-939-3027 |
Cottonwood Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 E. Shore Drive, Suite 100, Eagle, ID 83616 Phone: 208-323-8545 |
Level Up Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Riverside Dr, Eagle, ID 83616 Phone: 208-398-3020 |
Eagle Natural Dentistry LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E State St Ste 100, Eagle, ID 83616 Phone: 208-631-7485 |
Ascend Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 577 E State St, Eagle, ID 83616 Phone: 208-939-3500 Fax: 208-939-3837 |
Premier Dentistry of Eagle Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 S Rivershore Ln, Eagle, ID 83616 Phone: 208-938-1247 |