Individual provider · Type 1 NPI

Nathan Larson

Orthodontics and Dentofacial Orthopedics Dentistry · Gilbert, AZ

NPI number 1760757371 Active

Practice location

1717 E Queen Creek Rd
Gilbert, AZ 85298

Call (623) 400-3234 Map

Mailing address

2546 E Melrose St
Gilbert, AZ 85297-7521

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD011458 (AZ)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD011458 (AZ)
General Practice Dentistry 1223G0001X8362005-9921 (UT)

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 1760757371

Nathan Larson's National Provider Identifier is 1760757371, issued on Mar 14, 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 May 8, 2026.