DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSAN MICHELLE LARSEN, D.D.S.

Active Sole Proprietor

DR. SUSAN MICHELLE LARSEN, D.D.S. is a Dentist healthcare provider located in MESA, Arizona. NPI 1114010188 is currently active in the NPPES registry. Verify at CMS.

Dentist · MESA, AZ

Registration Details

NPI Number
1114010188
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2006 (19.858090690164 yrs)
Last Updated
Jul 9, 2007
License
D5678 (AZ)
Sole Proprietor
Yes

Practice Information

Address
1245 E SOUTHERN AVE
STE 12
MESA, AZ, 852045137
Browse AZ providers · Browse ZIP 85204
Phone
4806106544
Fax
4806330670
Primary Specialty
Dentist
122300000X

Other Dentist Providers in MESA, AZ

Name Credential NPI
DR. BRIAN FRANCIS CAHILL D.D.S. 1558365809
DR. JAMES A PIROLLI DDS 1801888102
BRET M FORD DDS 1245223916
DR. KENT JAMES SPURLING D.M.D. 1366418162
DONALD N CLIFFORD D.D.S. 1619937240
DR. JOEL ANDREW SHUMWAY DDS 1225095474
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.