Ethan D. Moulton, D.D.S.,M.S. is a periodontics dentist in Idaho Falls, ID. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Ethan D. Moulton, D.D.S.,M.S. NPI is 1740222579. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2375 E SUNNYSIDE RD STE I
IDAHO FALLS, ID
ZIP 83404-281
Phone: (208) 522-6683
Fax: (208) 552-3085
The enumeration date for this NPI number is 6/13/2006 and was last updated on 9/16/2007.