Thomas Lagrand Blaisdell, D.D.S.

General Practice Dentistry · Caldwell, ID

Individual Active NPI

NPI number 1437356029

Practice location

1916 Ellis Ave
Caldwell, ID 83605-4811
Phone
(208) 459-2376
Fax
(208) 459-1524

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NPI record

NPI
1437356029
Entity type
Individual (Type 1)
Enumeration date
June 28, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D4079 ID

Mailing address

416 Larkspur Ct
Caldwell, ID 83605-6294
Phone
(208) 402-4302

About Dr. Blaisdell

Thomas Lagrand Blaisdell, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1916 Ellis Ave, Caldwell, ID 83605-4811. The NPI number 1437356029 was assigned on June 28, 2007 and the record was last updated on July 8, 2007.

Dr. Blaisdell lists a license in the registry: #D4079 (ID) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Lagrand Blaisdell, D.D.S.?

The NPI number is 1437356029.

What is the phone number of Dr. Blaisdell?

The phone number listed for the practice location is (208) 459-2376.

Where is Dr. Blaisdell located?

1916 Ellis Ave, Caldwell, ID 83605-4811.

What is the taxonomy code for Dr. Blaisdell?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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