Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donald E Larson DMD PC

Organization General Practice Dentistry · NPI 1417055062

Donald E Larson DMD PC is a General Practice Dentistry in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 E State St Ste 100
Eagle, ID 83616
Phone: (208) 939-3500
Fax: (208) 939-3837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D3551 (ID)

Record details

NPI number1417055062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Larson — President · (208) 939-1570
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5919 N Lilybrook Pl, Boise, ID 83713

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