Individual provider · Type 1 NPI

Gregg Stuart Larson, DDS

Pediatric Dentistry · St. Cloud, MN

NPI number 1780625772 Active

Practice location

1900 Centracare Circle, Ste 0350
St. Cloud, MN 56303-5000

Call (320) 253-0272 Map

Fax (320) 251-2661

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X11344 (MN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1780625772

Gregg Stuart Larson, DDS's National Provider Identifier is 1780625772, issued on Jun 9, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Cloud, MN. The record was last updated on Oct 2, 2014.