National Provider Identifier Database

LARUE A BLUTH, DMD – NPI #1396961157
Endodontics

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.


Contact Information

LARUE A BLUTH, DMD
5244 N EAGLE RD
BOISE, ID83713-0945
Phone: 208-890-4980
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for LARUE A BLUTH

NPI Number 1396961157
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 04/18/2007
Last updated 11/09/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 46364
  • ID License #: D4267
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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