Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY LARSON, DMD
ActiveGeneral Dentistry · BOARDMAN, OR
Registration Details
- NPI Number
- 1770861791
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2011 (14.783450703769 yrs)
- Last Updated
- Jan 27, 2015
- License
-
D9625 (OR)
Practice Information
- Address
-
300 TATONEBOARDMAN, OR, 97818Browse OR providers · Browse ZIP 97818
- Phone
- 8884680022
- Fax
- 5415043907
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BOARDMAN, OR
| Name | Credential | NPI |
|---|---|---|
| DR. TYLER BENDIXSEN | DMD | 1578810404 |
| ZIYAD AMIR KADIR | DMD | 1780283556 |
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.