DONALD E LARSON DMD PC
NPI 1417055062
Dentist - General Practice in Eagle, ID

Q: What is Donald E Larson Dmd PC's NPI number?

The NPI number for Donald E Larson Dmd PC is 1417055062. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Donald E Larson Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 20, 2006

700 E STATE ST, SUITE 100, EAGLE, ID 83616(208) 939-3500(208) 939-3837 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Donald E Larson Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD E LARSON DMD PC (NPI 1417055062) is a healthcare organization registered as a general practice in Eagle, Idaho and active in the NPI registry since September 2006. The organization lists Donald E Larson, President, as its authorized official.

NPPES Registry Identity

NPI1417055062

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDONALD E LARSON DMD PC

Location Address700 E STATE ST, SUITE 100Eagle, ID 83616

Mailing Address5919 N Lilybrook PlBoise, ID 83713 · (208) 939-1570 · Fax (208) 939-1570

Phone(208) 939-3500

Fax(208) 939-3837

Organization SubpartNo

Authorized OfficialDonald E LarsonPresident · (208) 939-1570

Enumeration DateSeptember 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417055062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D3551

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.

700 E STATE ST, Eagle, ID 83616

Open in Google Maps ↗

Other Identifiers 2

OtherCS9245ID · Id State Board Of Pharm

Medicaid8061442ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald E Larson Dmd PC's NPI number?

The NPI number for Donald E Larson Dmd PC is 1417055062. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Donald E Larson Dmd PC located?

Donald E Larson Dmd PC is located at 700 E State St Suite 100, Eagle, ID 83616. The listed phone number is (208) 939-3500.

What is Donald E Larson Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Donald E Larson Dmd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.