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Ethan D. Moulton, DDS,MS
Periodontist in Idaho Falls, Idaho
NPI 1740222579

Ethan D. Moulton is a Periodontist based in Idaho Falls, ID and is specialized in Periodontics. Ethan D. Moulton practices in Idaho Falls, ID and has the professional credentials of DDS,MS. The NPI Number for Ethan D. Moulton is 1740222579 and holds a License No. 5588 (Idaho).

The current practice location address for Ethan D. Moulton is 2375 E Sunnyside Rd Ste I, Idaho Falls, ID and can be reached out via phone at 208-522-6683 and via fax at 208-552-3085. You can also correspond with Ethan D. Moulton through the mailing address at 2375 E SUNNYSIDE RD STE I, IDAHO FALLS, ID - 83404-8281 (mailing address contact number: 208-522-6683).

Location: 2375 E Sunnyside Rd Ste I, Idaho Falls, ID, 83404-8281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740222579
Provider Name
Ethan D. Moulton
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
2375 E Sunnyside Rd Ste I, Idaho Falls, ID, 83404-8281
Phone Number
208-522-6683
Fax Number
208-552-3085
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2375 E Sunnyside Rd Ste I
City
Idaho Falls
State
Idaho
Zip
83404-8281
Phone Number
208-522-6683
Fax Number
208-552-3085
person
Provider Business Mailing Address Details
Address
2375 E Sunnyside Rd Ste I
City
Idaho Falls
State
Idaho
Zip
83404-8281
Phone Number
208-522-6683
Fax Number
208-552-3085
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
D-4093-PE (Idaho)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
5588 (Oklahoma)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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