Individual provider · Type 1 NPI

Ethan James Larson, D.M.D. M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Gilbert, AZ

NPI number 1083975759 Active

Practice location

4365 E Pecos Rd Ste 136
Gilbert, AZ 85295-8053

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	D011332 (AZ)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1083975759

Ethan James Larson, D.M.D. M.S.'s National Provider Identifier is 1083975759, issued on May 30, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Gilbert, AZ. The record was last updated on Nov 15, 2024.