Individual provider · Type 1 NPI

Ivan M. Larsen, D.M.D

Endodontics · Jefferson City, MO

NPI number 1285185355 Active

Practice location

1002 Diamond Rdg Ste 1500
Jefferson City, MO 65109-7914

Other practice locations

  • 1311 E Central Dr, Meridian, ID 83642-7991 · (208) 373-1860

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD-4797 (ID)
Dentist 122300000X2019008323 (MO)
Endodontics Primary 1223E0200X2019008323 (MO)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

2 other providers at this address

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About NPI 1285185355

Ivan M. Larsen, D.M.D's National Provider Identifier is 1285185355, issued on Oct 24, 2016. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 28, 2022.