Ethan Moulton, D.D.S.,M.S

NPI 1740222579 · on the registry since 2006

Practice

Address: 2375 E Sunnyside Rd Ste I
Idaho Falls, ID 83404
Phone: (208) 522-6683
Fax: (208) 552-3085
Organisation at this address: Bmh, Inc.
Manual Solutions Pllc
Stephen R Marano Md Pc
3 Peaks Anesthesia, Inc
Center For Aesthetics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: Periodontics
1223P0300X
Also registered as: Dentist
Licence states on file: OK, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho