Carl Larson, DDS

General Practice Dentistry · Meridian, ID

Individual Active NPI

NPI number 1295048692

Practice location

3909 E Fairview Ave Ste 150
Meridian, ID 83642-5814
Phone
(208) 996-5808

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NPI record

NPI
1295048692
Entity type
Individual (Type 1)
Enumeration date
July 15, 2010
Last updated
April 22, 2021
Certified
April 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D-4553 ID

About Dr. Larson

Carl Larson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3909 E Fairview Ave Ste 150, Meridian, ID 83642-5814. The NPI number 1295048692 was assigned on July 15, 2010 and the record was last updated on April 22, 2021.

Dr. Larson lists a license in the registry: #D-4553 (ID) 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 Carl Larson, DDS?

The NPI number is 1295048692.

What is the phone number of Dr. Larson?

The phone number listed for the practice location is (208) 996-5808.

Where is Dr. Larson located?

3909 E Fairview Ave Ste 150, Meridian, ID 83642-5814.

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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