DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOULTON PERIODONTICS, PLLC

Active Organization

MOULTON PERIODONTICS, PLLC is a Dental Clinic organization located in IDAHO FALLS, Idaho. NPI 1104085935 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · IDAHO FALLS, ID

Registration Details

NPI Number
1104085935
Provider Type
Organization
NPI Issued
Jun 6, 2008 (18.212765928416 yrs)
Last Updated
Jun 6, 2008
License
D-4093-PE (ID)

Practice Information

Address
2375 E SUNNYSIDE RD
SUITE I
IDAHO FALLS, ID, 834048280
Browse ID providers · Browse ZIP 83404
Phone
2085226683
Fax
2085523085
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in IDAHO FALLS, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.