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Donald E Larson, DMD
General Practice Dentistry in Eagle, Idaho
NPI 1235435744

Donald E Larson is a General Practice Dentistry based in Boise, ID and is specialized in General Practice. Donald E Larson practices in Eagle, ID and has the professional credentials of DMD. The NPI Number for Donald E Larson is 1235435744 and holds a License No. D3551 (Idaho).

The current practice location address for Donald E Larson is 700 E State St Ste 100, Eagle, ID and can be reached out via phone at 208-939-3500 and via fax at 208-939-9897.

Location: 700 E State St Ste 100, Eagle, ID, 83713-1381
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235435744
Provider Name
Donald E Larson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
700 E State St Ste 100, Eagle, ID, 83713-1381
Phone Number
208-939-3500
Fax Number
208-939-9897
Provider Enumeration Date
01/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8061442 05 ID
CS9245 01 ID ID STATE BOARD OF PHARMACY
1312746 01 ID UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
700 E State St Ste 100
City
Eagle
State
Idaho
Zip
83616-5941
Phone Number
208-939-3500
Fax Number
208-939-9897
person
Provider Business Mailing Address Details
Address
700 E State St Ste 100
City
Eagle
State
Idaho
Zip
83616-5941
Phone Number
208-939-3500
Fax Number
208-939-9897
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D3551 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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