Ethan D Moulton, DDS,MS - Dentist in Idaho Falls, ID

Ethan D Moulton, DDS,MS is a Dentist - Periodontics based in Idaho Falls, Idaho. Ethan D Moulton is licensed to practice in Idaho (license number D-4093-PE) and his current practice location is 2375 E Sunnyside Rd Ste I, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 522-6683.

NPI number for Ethan D Moulton is 1740222579 and his current mailing address is 2375 E Sunnyside Rd Ste I, Idaho Falls, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740222579.

Contact Information

Ethan D Moulton, DDS,MS
2375 E Sunnyside Rd Ste I,
Idaho Falls, ID 83404-8281
(208) 522-6683
(208) 552-3085

Map and Direction




Healthcare Provider's Profile

Full NameEthan D Moulton
GenderMale
SpecialityDentist - Periodontics
Location2375 E Sunnyside Rd Ste I, Idaho Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740222579
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 09/16/2007

Medical Identifiers

Medical identifiers for Ethan D Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740222579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 5588 (Oklahoma)Secondary
1223P0300XDentist - Periodontics D-4093-PE (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan D Moulton is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ethan D Moulton, DDS,MS
2375 E Sunnyside Rd Ste I,
Idaho Falls, ID 83404-8281

Ph: (208) 522-6683
Ethan D Moulton, DDS,MS
2375 E Sunnyside Rd Ste I,
Idaho Falls, ID 83404-8281

Ph: (208) 522-6683

Reviews and Comments


Dentist in Idaho Falls, ID

Dr. Christopher M Cannon, DMD
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Phone: 208-524-2300    Fax: 208-545-8447
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Phone: 208-525-4780    Fax: 508-525-4785
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Practice Location: 2300 E 17th St, Idaho Falls, ID 83404
Phone: 208-525-8383    Fax: 208-523-6419
Dr. Trent Charles Buehler, DMD
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Practice Location: 2860 Valencia Dr Ste 100, Idaho Falls, ID 83404
Phone: 855-433-6825    
Dr. Philip R Harper, D.M.D.
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Medicare: Medicare Enrolled
Practice Location: 3550 Washington Pkwy, Idaho Falls, ID 83404
Phone: 208-524-2300    Fax: 208-545-8447

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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