Individual provider · Type 1 NPI

Michael Andrew Larsen, DDS

General Practice Dentistry · Burley, ID

NPI number 1376570242 Active

Practice location

1361 E 16th St
Burley, ID 83318-2008

Call (208) 677-5198 Map

Fax (208) 678-2245

Mailing address

794 Eastland Dr
Twin Falls, ID 83301-6856

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDE10258 (WA)
General Practice Dentistry Primary 1223G0001XD-3993 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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About NPI 1376570242

Michael Andrew Larsen, DDS's National Provider Identifier is 1376570242, issued on Jun 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Burley, ID. The record was last updated on Nov 27, 2012.