Eric Larson

General Practice Dentistry · Kingston, TN

Individual Active NPI

NPI number 1649696857

Practice location

1011 Waterford Pl
Kingston, TN 37763-2686
Phone
(865) 376-9687

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NPI record

NPI
1649696857
Entity type
Individual (Type 1)
Enumeration date
March 12, 2014
Last updated
April 7, 2022
Certified
April 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10868 TN
General Practice Dentistry 1223G0001X DE60562467 WA

Other practice locations (1)

  • 16825 Smokey Point Blvd, Arlington, WA 98223-8407 · (360) 653-5197

About Eric Larson

Eric Larson is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1011 Waterford Pl, Kingston, TN 37763-2686. The NPI number 1649696857 was assigned on March 12, 2014 and the record was last updated on April 7, 2022.

Eric Larson lists 2 licenses in the registry: #10868 (TN) for General Practice Dentistry; #DE60562467 (WA) 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 Eric Larson?

The NPI number is 1649696857.

What is the phone number of Eric Larson?

The phone number listed for the practice location is (865) 376-9687.

Where is Eric Larson located?

1011 Waterford Pl, Kingston, TN 37763-2686.

What is the taxonomy code for Eric Larson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 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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