Donald E Larson Dmd Pc in Eagle - General Practice
Donald E Larson Dmd Pc - NPI 1417055062
Donald E Larson Dmd Pc is a General Practice in Eagle, Idaho. Donald E Larson Dmd Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Donald E Larson Dmd Pc is 1417055062. The last update date is 2020-08-22.
Donald E Larson Dmd Pc's current location address is 700 E State St, Eagle, Idaho. You can contact this provider via phone number 2089393500 and fax number 2089393837. The mailing address for Donald E Larson Dmd Pc is 700 E State St, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Donald E Larson Dmd Pc |
|---|---|
| Address | 700 E State St, Eagle, Idaho |
| Phone Number | 2089393500 |
| Fax Number | 2089393837 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Larson E Donald |
| Credentials | DMD |
| Telephone Number | 2089391570 |
NPI Number Detail
| NPI Number | 1417055062 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 700 E State St |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 83616 |
| Phone Number | 2089393500 |
| Fax Number | 2089393837 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3551 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8061442 | ID | -- | |
| CS9245 | ID | ID STATE BOARD OF PHARM |
Post Comment/ Review Below
What is the Donald E Larson Dmd Pc's unique identification number?
The Donald E Larson Dmd Pc has been assigned the NPI (National Provider Identifier) Number 1417055062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Donald E Larson Dmd Pc's physical address?
The Donald E Larson Dmd Pc is physically located at 700 E State St, in the city of Eagle, ID, with the postal code 83616.
What is Donald E Larson Dmd Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Donald E Larson Dmd Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did Donald E Larson Dmd Pc receive its 1417055062 assignment?
The Donald E Larson Dmd Pc was assigned its 1417055062 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
When was the Donald E Larson Dmd Pc's information last updated?
The Donald E Larson Dmd Pc's information was last updated on 2020-08-22.