Donald E Larson is a Eagle, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Donald E Larson is D3551 for General Practice Dentistry in Idaho. His current practice location is 700 E State St Ste 100, Eagle. Patients can reach him at 208-939-3500.
Donald E Larson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Donald E Larson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Donald E Larson
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
700 E State St Ste 100, Eagle, Idaho, 83616-5941
Phone:
208-939-3500
Fax:
208-939-9897
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 are as mentioned below.
NPI Number:
1235435744
NPI Enumeration Date:
31 Jan, 2011
NPI Last Update On:
31 Jan, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Donald E Larson are as mentioned below.
License Number
Specialization
State
Status
D3551
General Practice Dentistry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Donald E Larson 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 PHARMACY
1312746
Other
Idaho
UNITED CONCORDIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5919 N Lilybrook Pl, Boise, Idaho
Zip:
83713-1381
Phone Number:
208-939-1570
Fax Number:
208-939-1570
Patients can reach Donald E Larson at 700 E State St Ste 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.