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

Ethan D. Moulton, DDS, MS

Individual provider Dentist · NPI 1740222579

Ethan D. Moulton, DDS, MS is a Dentist in Idaho Falls, Idaho. Licensed in Idaho and Oklahoma. Registered with an NPI since 2006.

Licensed in
ID, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2375 E Sunnyside Rd Ste I
Idaho Falls, ID 83404-8281
Phone: (208) 522-6683
Fax: (208) 552-3085
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D-4093-PE (ID)
Dentist Taxonomy 122300000X · Licence 5588 (OK)

Record details

NPI number1740222579
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESSeptember 16, 2007
Mailing address2375 E Sunnyside Rd Ste I, Idaho Falls, ID 83404-8281

Other providers in Idaho Falls