Donald E Larson Dmd Pc is a Dental Clinic in Eagle, Idaho. It is located at 700 E State St, Suite 100, Eagle, ID and its contact number is 208-939-3500. The authorized person for Donald E Larson Dmd Pc is Dr. Donald E Larson
who is President of the clinic and their contact number is 208-939-1570. The primary license number for Donald E Larson Dmd Pc is D3551 (General Practice) in Idaho. Donald E Larson Dmd Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Donald E Larson Dmd Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Donald E Larson Dmd Pc
Specialization:
General Practice Dentistry
Clinic Address:
700 E State St, Suite 100, Eagle, Idaho, 83616
Phone:
208-939-3500
Fax:
208-939-3837
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Donald E Larson
Position:
President
Contact Number:
208-939-1570
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Donald E Larson Dmd Pc clinic are as mentioned below.
NPI Number:
1417055062
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Donald E Larson Dmd Pc are as mentioned below.
Specialization
License Number
State
Status
General Practice
D3551
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8061442
Medicaid
Idaho
CS9245
Other
Idaho
Id State Board Of Pharm
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Donald E Larson Dmd Pc 5919 N Lilybrook Pl, Boise, Idaho
Zip:
83713
Phone Number:
208-939-1570
Fax Number:
208-939-1570
Patients can reach Donald E Larson Dmd Pc at 700 E State St, Suite 100, Eagle, Idaho or can call to book an appointment on 208-939-3500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.