Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLIOT DAVID LARSON, D.D.S., M.S.
Active Sole ProprietorDR. ELLIOT DAVID LARSON, D.D.S., M.S. is a Endodontics healthcare provider located in BAXTER, Minnesota. NPI 1295229680 is currently active in the NPPES registry. Verify at CMS.
Endodontics · BAXTER, MN
Registration Details
- NPI Number
- 1295229680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2018 (8.1717061661067 yrs)
- Last Updated
- Oct 4, 2023
- Licenses
-
D14244 (MN)D-4940 (ID)D14244 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7814 EXCELSIOR RDBAXTER, MN, 564258427Browse MN providers · Browse ZIP 56425
- Phone
- 2184542400
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Endodontics
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.