# ADACARE DENTAL & DENTURES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316687437
- **Authorized official:** DR. CARL LARSON DDS (OWNER)
- **Authorized official phone:** (208) 996-5808

## Contact information

- **Practice address:** 3909 E FAIRVIEW AVE STE 150, MERIDIAN, ID 83642-5814
- **Practice address phone:** (208) 996-5808
- **Practice address fax:** (208) 996-7208
- **Mailing address:** 3909 E FAIRVIEW AVE STE 150, MERIDIAN, ID 83642-5814
- **Mailing address phone:** (208) 996-5808
- **Mailing address fax:** (208) 996-7208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2022
- **Last updated:** 03/29/2022