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Thomas Lagrand Blaisdell, DDS
General Practice Dentistry in Caldwell, Idaho
NPI 1437356029

Thomas Lagrand Blaisdell is a General Practice Dentistry based in Caldwell, ID and is specialized in General Practice. Thomas Lagrand Blaisdell practices in Caldwell, ID and has the professional credentials of DDS. The NPI Number for Thomas Lagrand Blaisdell is 1437356029 and holds a License No. D4079 (Idaho).

The current practice location address for Thomas Lagrand Blaisdell is 1916 Ellis Ave, Caldwell, ID and can be reached out via phone at 208-459-2376 and via fax at 208-459-1524. You can also correspond with Thomas Lagrand Blaisdell through the mailing address at 416 LARKSPUR CT, CALDWELL, ID - 83605-6294 (mailing address contact number: 208-402-4302).

Location: 1916 Ellis Ave, Caldwell, ID, 83605-6294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437356029
Provider Name
Thomas Lagrand Blaisdell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1916 Ellis Ave, Caldwell, ID, 83605-6294
Phone Number
208-459-2376
Fax Number
208-459-1524
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1916 Ellis Ave
City
Caldwell
State
Idaho
Zip
83605-4811
Phone Number
208-459-2376
Fax Number
208-459-1524
person
Provider Business Mailing Address Details
Address
1916 Ellis Ave
City
Caldwell
State
Idaho
Zip
83605-4811
Phone Number
208-459-2376
Fax Number
208-459-1524
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D4079 (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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