RUSSELL M LARSEN DDS
NPI 1013014471
Dentist in Montesano, WA

Active since September 20, 2006
208 E BROADWAY AVE, MONTESANO, WA 98563(360) 249-3151(360) 249-5129 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell M Larsen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL M LARSEN DDS (NPI 1013014471) is an individual dentist in Montesano, Washington, licensed in Washington (DE00007407) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1013014471
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRUSSELL M LARSENCredential: DDS
Location Address208 E BROADWAY AVEMontesano, WA 98563-3706
Mailing Address208 E Broadway AveMontesano, WA 98563-3706 · (360) 249-3151 · Fax (360) 249-5129
Fax(360) 249-5129
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1013014471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WA · DE00007407
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
208 E BROADWAY AVE, Montesano, WA 98563

Other Identifiers 1

Medicaid5032016WA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
208 E BROADWAY AVE
MONTESANO, WA 98563
Dentist
208 E BROADWAY AVE
MONTESANO, WA 98563
Dentist
208 E BROADWAY AVE
MONTESANO, WA 98563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Larsen's NPI number?

The NPI number for Russell Larsen is 1013014471. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Russell Larsen located?

Russell Larsen practices at 208 E Broadway Ave, Montesano, WA 98563. The listed phone number is (360) 249-3151.

What is Russell Larsen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Russell Larsen was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.