Individual provider · Type 1 NPI

Douglas Marshall Larson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Jamestown, NY

NPI number 1366432098 Active

Practice location

680 Fairmount Ave
Jamestown, NY 14701-2630

Fax (716) 661-9623

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X049 677 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X049 677 (NY)

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 1366432098

Douglas Marshall Larson, DDS's National Provider Identifier is 1366432098, issued on Oct 25, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jamestown, NY. The record was last updated on May 12, 2014.