| Donald E Larson, DMD | |
|
700 E State St Ste 100, Eagle, ID 83616-5941 | |
| (208) 939-3500 | |
| (208) 939-9897 |
| Full Name | Donald E Larson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 700 E State St Ste 100, Eagle, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235435744 | NPI | - | NPPES |
| 8061442 | Medicaid | ID | |
| CS9245 | Other | ID | ID STATE BOARD OF PHARMACY |
| 1312746 | Other | ID | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3551 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E Larson, DMD 5919 N Lilybrook Pl, Boise, ID 83713-1381 Ph: (208) 939-1570 | Donald E Larson, DMD 700 E State St Ste 100, Eagle, ID 83616-5941 Ph: (208) 939-3500 |
Dr. Evan Hathaway, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1217 E Iron Eagle Dr, Eagle, ID 83616 Phone: 208-377-1161 Fax: 208-938-0567 | |
Colton Charles, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 W State St Ste 180, Eagle, ID 83616 Phone: 208-939-0600 | |
Dr. Joel Edward Courtial, DDS Dentist Medicare: Medicare Enrolled Practice Location: 151 Stierman Way, Eagle, ID 83616 Phone: 208-939-4111 Fax: 208-939-3701 | |
George D. Chen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1564 E Crowne Point Dr, Eagle, ID 83616 Phone: 916-508-2435 Fax: 916-983-6201 | |
Dr. Michael G Dolby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 90 Cottonwood Ct Ste 100, Eagle, ID 83616 Phone: 208-323-8545 Fax: 208-938-1401 | |
Dr. Ryan N Van Alfen, DDS, PLC Dentist Medicare: Not Enrolled in Medicare Practice Location: 483 S Rivershore Ln Ste 102, Eagle, ID 83616 Phone: 208-938-2100 Fax: 208-938-0676 |