William Kim Larson, DDS

General Practice Dentistry · Wadena, MN

Individual Active NPI

NPI number 1164519625

Practice location

122 Colfax Ave SW
Wadena, MN 56482-1470
Phone
(218) 631-4525
Fax
(218) 631-3998

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NPI record

NPI
1164519625
Entity type
Individual (Type 1)
Enumeration date
October 6, 2006
Last updated
July 16, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D12083 MN

About Dr. Larson

William Kim Larson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 122 Colfax Ave SW, Wadena, MN 56482-1470. The NPI number 1164519625 was assigned on October 6, 2006 and the record was last updated on July 16, 2007.

Dr. Larson lists a license in the registry: #D12083 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Kim Larson, DDS?

The NPI number is 1164519625.

What is the phone number of Dr. Larson?

The phone number listed for the practice location is (218) 631-4525.

Where is Dr. Larson located?

122 Colfax Ave SW, Wadena, MN 56482-1470.

What is the taxonomy code for Dr. Larson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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