Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ethan D. Moulton, D.D.S.,M.S.
Periodontics in Idaho Falls, ID · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1740222579
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Registry record
Entity type Individual (Type 1)
Name Ethan D. Moulton
Credential D.D.S.,M.S.
Sex Male
Practice address 2375 E Sunnyside Rd Ste I, Idaho Falls, ID, 83404
Phone (208) 522-6683
Fax (208) 552-3085
Enumeration date Jun 13, 2006
Last updated in NPPES Sep 16, 2007
Taxonomy & licenses
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees.
About the DDS credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Ethan Moulton practice?
The practice location on file with NPPES is in Idaho Falls, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Ethan Moulton?
The National Provider Identifier (NPI) for Ethan Moulton is 1740222579, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-16.