Moulton Periodontics, Pllc is a renowned Dental office in Idaho Falls, Idaho. It is located at 2375 E Sunnyside Rd, Suite I, Idaho Falls, ID and its contact number is 208-522-6683. The authorized person for Moulton Periodontics, Pllc is Dr. Ethan D Moulton
who is Owner of the place and their contact number is 208-522-6683. The primary license number for Moulton Periodontics, Pllc is D-4093-PE (Dental) in Idaho.
Moulton Periodontics, Pllc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Moulton Periodontics, Pllc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Moulton Periodontics, Pllc
Specialization:
Dentistry
Address:
2375 E Sunnyside Rd, Suite I, Idaho Falls, Idaho, 83404-8280
Phone:
208-522-6683
Fax:
208-552-3085
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Ethan D Moulton
Position:
Owner
Contact Number:
208-522-6683
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 Moulton Periodontics, Pllc Office are as mentioned below.
NPI Number:
1104085935
NPI Enumeration Date:
06 Jun, 2008
NPI Last Update On:
06 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moulton Periodontics, Pllc are as mentioned below.
Specialization
License Number
State
Status
Dental
D-4093-PE
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Moulton Periodontics, Pllc 2375 E Sunnyside Rd, Suite I Idaho Falls, Idaho
Zip:
83404-8280
Phone Number:
208-522-6683
Fax Number:
208-552-3085
Patients can reach Moulton Periodontics, Pllc at 2375 E Sunnyside Rd, Suite I, Idaho Falls, Idaho or can call to book an appointment on 208-522-6683. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.