Individual
DR. EDGAR BLAIR THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
185 S 300 E, MALAD CITY, ID 83252-1343
(208) 766-2204
Mailing address
185 S 300 E, MALAD CITY, ID 83252-1343
(208) 766-2204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1895
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002607400
—
ID
01
—
69625
BLUE CROSS OF IDAHO
ID
01
—
971248
UNITED CONCORDIA
—
Enumeration date
05/10/2007
Last updated
02/25/2026
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