Elliot David Larson, D.D.S., M.S.

Endodontics · Baxter, MN

Individual Active NPI

NPI number 1295229680

Practice location

7814 Excelsior Rd
Baxter, MN 56425-8427
Phone
(218) 454-2400

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NPI record

NPI
1295229680
Entity type
Individual (Type 1)
Enumeration date
June 19, 2018
Last updated
October 4, 2023
Certified
October 4, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X D14244 MN
General Practice Dentistry 1223G0001X D14244 MN
General Practice Dentistry 1223G0001X D-4940 ID

Mailing address

6893 259TH Ave NE
Stacy, MN 55079-3154

About Dr. Larson

Elliot David Larson, D.D.S., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 7814 Excelsior Rd, Baxter, MN 56425-8427. The NPI number 1295229680 was assigned on June 19, 2018 and the record was last updated on October 4, 2023.

Dr. Larson lists 3 licenses in the registry: #D14244 (MN) for Endodontics; #D14244 (MN) for General Practice Dentistry; #D-4940 (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 Elliot David Larson, D.D.S., M.S.?

The NPI number is 1295229680.

What is the phone number of Dr. Larson?

The phone number listed for the practice location is (218) 454-2400.

Where is Dr. Larson located?

7814 Excelsior Rd, Baxter, MN 56425-8427.

What is the taxonomy code for Dr. Larson?

The primary taxonomy code is 1223E0200X – Endodontics; 2 more listed above.

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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