Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGG STUART LARSON, DDS
ActiveGREGG STUART LARSON, DDS is a Pediatric Dentistry healthcare provider located in ST CLOUD, Minnesota. NPI 1780625772 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ST CLOUD, MN
Registration Details
- NPI Number
- 1780625772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.208928129573 yrs)
- Last Updated
- Oct 2, 2014
- License
-
11344 (MN)
Practice Information
- Address
-
1900 CENTRACARE CIRCLESTE 0350ST CLOUD, MN, 563035000Browse MN providers · Browse ZIP 56303
- Phone
- 3202530272
- Fax
- 3202512661
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in ST CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| JOSEPH HALL WENNER | DDS | 1720028624 |
| MICHAEL WALDEMAR STEIL | DDS | 1629018536 |
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.