NPI age
19 years
Enumerated 2006-06-13
● Active
Type 1 · Individual
Ethan D. Moulton, D.D.S.,M.S.
Moulton is 1 of 3 dentist providers in Idaho Falls and 1 of 37 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, OK
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-09-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 37 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
2375 E Sunnyside Rd Ste I
Idaho Falls, ID 834048281
Mailing address
2375 E Sunnyside Rd Ste I
Idaho Falls, ID 834048281
Specialties
-
Dentist PrimaryThat 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...
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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