| Thomas Lagrand Blaisdell, DDS | |
|
1916 Ellis Ave, Caldwell, ID 83605-4811 | |
| (208) 459-2376 | |
| (208) 459-1524 |
| Full Name | Thomas Lagrand Blaisdell |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1916 Ellis Ave, Caldwell, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437356029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4079 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Lagrand Blaisdell, DDS 416 Larkspur Ct, Caldwell, ID 83605-6294 Ph: (208) 402-4302 | Thomas Lagrand Blaisdell, DDS 1916 Ellis Ave, Caldwell, ID 83605-4811 Ph: (208) 459-2376 |
Dr. Alvin D Schnell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1417 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-8505 | |
Dr. Loren E. Short, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4203 Clock Tower Ave., Caldwell, ID 83607 Phone: 208-454-4112 Fax: 208-454-5155 | |
Rachelle Melisa Coca, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4111 Clock Tower Ave, Caldwell, ID 83607 Phone: 208-314-2780 | |
Nicholas A Massoth, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 4121 Clock Tower Ave, Caldwell, ID 83607 Phone: 208-459-7800 Fax: 208-455-8452 | |
Leland Gary Schnell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1417 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-8505 | |
Dr. Russell Powell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 329 E Logan St, Caldwell, ID 83605 Phone: 208-459-3388 Fax: 208-453-9295 | |
Jeffrey D Larson, D.M.D., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Kimball Ave, Caldwell, ID 83605 Phone: 208-454-2061 Fax: 208-459-6899 |