Kim E. Larson, DDS

Prosthodontics · Puyallup, WA

Individual Active NPI

NPI number 1568546778

Practice location

4104 10TH St SE
Puyallup, WA 98374-2190
Phone
(253) 841-1943
Fax
(253) 841-3670

Open in Google Maps

NPI record

NPI
1568546778
Entity type
Individual (Type 1)
Enumeration date
October 24, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X 5944 WA

Mailing address

4104 10TH Street SE
Puyallup, WA 98374-2190
Phone
(253) 841-1943
Fax
(253) 841-3670

About Dr. Larson

Kim E. Larson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 4104 10TH St SE, Puyallup, WA 98374-2190. The NPI number 1568546778 was assigned on October 24, 2006 and the record was last updated on July 8, 2007.

Dr. Larson lists a license in the registry: #5944 (WA) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kim E. Larson, DDS?

The NPI number is 1568546778.

What is the phone number of Dr. Larson?

The phone number listed for the practice location is (253) 841-1943.

Where is Dr. Larson located?

4104 10TH St SE, Puyallup, WA 98374-2190.

What is the taxonomy code for Dr. Larson?

The primary taxonomy code is 1223P0700X – Prosthodontics.

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.