Donald E Larson Dmd PC
Donald E Larson Dmd PC is a healthcare organization registered as General Practice Dentistry in Eagle, ID, holding Type 2 (organization) NPI 1417055062 since 2006. The authorized official on file is Donald Larson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417055062 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Donald E Larson Dmd PC |
| Practice address | 700 E STATE ST, SUITE 100, Eagle, ID, 83616 |
| Phone | 2089393500 |
| Fax | 2089393837 |
| Enumeration date | 2006-09-20 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Donald Larson |
|---|---|
| Title | President |
| Phone | 2089391570 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | D3551 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8061442 | Medicaid | ID | — |
| CS9245 | Other | ID | ID STATE BOARD OF PHARM |
Copy-ready billing details
Provider: Donald E Larson Dmd PC NPI: 1417055062 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 700 E STATE ST, SUITE 100, Eagle, ID, 83616
Verify this record
Cross-check NPI 1417055062 against the authoritative CMS record: view Donald E Larson Dmd PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Donald E Larson Dmd PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.