Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IVAN M LARSEN, D.M.D
ActiveDR. IVAN M LARSEN, D.M.D is a Endodontics healthcare provider located in JEFFERSON CITY, Missouri. NPI 1285185355 is currently active in the NPPES registry. Verify at CMS.
Endodontics · JEFFERSON CITY, MO
Registration Details
- NPI Number
- 1285185355
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2016 (9.8025109332373 yrs)
- Last Updated
- Sep 28, 2022
- Licenses
-
D-4797 (ID)2019008323 (MO)2019008323 (MO)
Practice Information
- Address
-
1002 DIAMOND RDG STE 1500JEFFERSON CITY, MO, 651097914Browse MO providers · Browse ZIP 65109
- Phone
- 5732984400
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Dentist
- Additional Specialty
- Endodontics
Other Endodontics Providers in JEFFERSON CITY, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ERICK A JANSSON | DDS | 1184931065 |
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.