Moulton Periodontics, PLLC
About this NPIWhat this record shows.
NPI 1104085935 is registered to Moulton Periodontics, PLLC, a healthcare organisation classified as "Dental Clinic/Center" and located at 2375 E Sunnyside Rd, Suite I in Idaho Falls, Idaho. The organisation's authorised official is Ethan Moulton. The organisation has been enumerated in the NPI registry since 2008.
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Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Moulton Periodontics, PLLC accepts. To confirm in-network status with your specific health plan, contact Moulton Periodontics, PLLC directly at (208) 522-6683.
Frequently asked
Yes. NPI 1104085935 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Dental Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 522-6683.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Moulton Periodontics, PLLC is a Type-2 organisational NPI.