DR. LARUE ANTOINE BLUTH


Address: 5244 N Eagle Rd, Boise, ID 83713-0945
Phone: 2088904980

DR. LARUE ANTOINE BLUTH (NPI# 1396961157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396961157
Entity Type Individual
Full Name DR. LARUE ANTOINE BLUTH
Credential D.M.D.
Practice Address 5244 N Eagle Rd
Boise
ID 83713-0945
Practice Telephone 2088904980
Mailing Telephone 2088904980
Enumeration Date 2007-04-18
Last Update Date 2009-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
D4267 ID Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
46364 CA Dental Providers

Office Location

Street Address 5244 N EAGLE RD
City BOISE
State ID
Zip Code 83713-0945

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NPI Name Taxonomy Address Enumeration
1265902332 Kidscare Home Health of Idaho, LLC Home Health 1835 Wildwood Street, Boise, ID 83713 2018-11-30
1417463928 Kimberly Ann Bohrer Behavioral Analyst 12053 W Hickory Dr, Boise, ID 83713 2017-12-19
1407371891 Emir Hadzic Optometrist 13239 W. Fernleaf St., Boise, ID 83713 2017-08-07
1518336650 Alliance Physical Medicine Nurse Practitioner 13909 W Wainwright Drive, Boise, ID 83713 2015-09-18
1083038335 Jan L Rehder Nurse Practitioner 13150 W Persimmon Lane, Boise, ID 83713 2014-02-06
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1659667459 Jayson Clark Dentist 4274 N Eagle Road, Boise, ID 83713 2011-06-21
1043503659 Steven Anthony Eckhoff Physician Assistant 11662 W Arlen St, Boise, ID 83713 2011-05-16
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1699930404 Dennis J. Garpetti, Dds, P.C. Dentist 13108 West Persimmon Lane, Boise, ID 83713 2008-07-21
Find all providers in zip 83713

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437455961 Herbert Ray Blaser Dentist 2104 N. Cole Rd., Boise, ID 83704 2011-02-01
1417096678 Idaho Endodontics Pa Dentist 2014 N Cole Rd, Boise, ID 83704 2007-02-05
1932259173 Brent L Chapman Dentist 1555 S Timesquare Ln, Boise, ID 83709-8266 2007-01-11
1811077589 Hilary I Dunstan Dentist 6363 W Emerald St Ste 102, Boise, ID 83704-8783 2006-10-17
1124139134 Michael John Bingham Dentist 3308 N Milwaukee St, Boise, ID 83704-4447 2006-08-31
1710509823 Idaho Endodontics Dentist 1555 S Timesquare Ln, Boise, ID 83709-8266 2020-05-12
1407483027 Northwest Dental Group Dentist 8300 Northview St, Boise, ID 83704 2020-03-24
1881861581 Robert Olson Jr. Dentist 8119 Ustick Rd, Boise, ID 83704-5754 2008-05-12
1114077369 Adam J Shipp Dentist 1555 S Timesquare Ln, Boise, ID 83709-8266 2007-01-11
1912088709 Stephen J Rodell Dds Pa Dentist 10480 W Garverdale Ct, #802, Boise, ID 83704-5477 2006-10-18
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83713

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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