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

KELLY JAMES LARSON, DDS

Active Sole Proprietor

KELLY JAMES LARSON, DDS is a Dentist healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1346310414 is currently active in the NPPES registry. Verify at CMS.

Dentist · PRESCOTT VALLEY, AZ

Registration Details

NPI Number
1346310414
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.742528942919 yrs)
Last Updated
Jul 8, 2007
License
D4296 (AZ)
Sole Proprietor
Yes

Practice Information

Address
8086 E FLORENTINE RD
PRESCOTT VALLEY, AZ, 863149422
Browse AZ providers · Browse ZIP 86314
Phone
9287728128
Fax
9287722369
Primary Specialty
Dentist
122300000X

Other Dentist Providers in PRESCOTT VALLEY, AZ

Name Credential NPI
DR. RICHARD WILLIAM ZAPFE DDS 1972619153
DR. DAVID FRAUSTO JR. DDS 1619021425
MR. KENYON THOMAS BANFIELD DMD 1245366798
MATTHEW BERGMAN 1366636540
DR. JAMES PAUL JOSEPH DDS 1568611267
DR. SEAN C REED D.D.S. 1184914616
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.