Individual provider · Type 1 NPI
Robert Gardner Larson, DDS MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Indianapolis, IN
Practice location
6070 N Keystone Ave
Indianapolis, IN 46220-2585
Fax (317) 803-9917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 8110 (IN) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 8110 (IN) |
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 1710171483
Robert Gardner Larson, DDS MSD's National Provider Identifier is 1710171483, issued on Sep 5, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 5, 2007.