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Active NPI 1235435744 Individual Practitioner Male Practitioner

Dr. Donald E Larson , DMD

Dentist - General Practice • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Dr. Donald Larson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Eagle, ID. Practice services are available at 700 E STATE ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 E State St Ste 100

Eagle, ID 836165941

Telephone 2089393500
Fax 2089399897
Associated Practice Facility / Clinic
🏢 Donald E Larson Dmd Pc Facility NPI 1417055062

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eagle, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Eagle, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D3551

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8061442 (ID)
Commercial Insurance / Payer ID Id State Board Of Pharmacy
CS9245 (ID)
Commercial Insurance / Payer ID United Concordia
1312746 (ID)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 31, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2011

Registered at 700 E STATE ST STE 100, EAGLE, ID 836165941 (Tel: 2089393500)

📍
Updated Business Mailing Address January 31, 2011

Registered at 5919 N LILYBROOK PL, BOISE, ID 837131381 (Tel: 2089391570)

👤
Provider Name / Credentials Updated January 31, 2011

Recorded as DONALD LARSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2011

Dentist (License #D3551 in ID)

🟢
Initial NPI Registration & Enumeration January 31, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235435744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2011
Last Update: January 31, 2011
Sole Proprietor: Yes

Mailing Address

5919 N Lilybrook Pl

Boise, ID 837131381

Phone: 2089391570

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.