Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN JAMES LARSON, D.M.D. M.S.
Active Sole ProprietorDR. ETHAN JAMES LARSON, D.M.D. M.S. is a Orthodontics healthcare provider located in GILBERT, Arizona. NPI 1083975759 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · GILBERT, AZ
Registration Details
- NPI Number
- 1083975759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2012 (14.167215408305 yrs)
- Last Updated
- Nov 15, 2024
- License
-
D011332 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4365 E PECOS RD STE 136GILBERT, AZ, 852958053Browse AZ providers · Browse ZIP 85295
- Phone
- 4807129595
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in GILBERT, AZ
| Name | Credential | NPI |
|---|---|---|
| ROBERT A MACDONALD | DMD MS | 1780600304 |
| DR. SCOTT DAY | DMD, MS | 1245308394 |
| DR. MAI CHI SAMANTHA VU | D.M.D. , MS | 1972631463 |
| MR. BLAKE B ROBISON | DDS, MA, MSD | 1265658850 |
| DR. GEOF GLOVSKY | DMD | 1225250533 |
| DR. DONALD JOSEPH SANCHEZ | D.D.S., M.S. | 1841491453 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.