DR. LARISSA W HANSON D.M.D.
NPI 1013320142
Dentist - General Practice in Port Orange, FL

Q: What is Larissa Hanson's NPI number?

The NPI number for Larissa Hanson is 1013320142. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Q: What is Larissa Hanson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Hanson was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 05, 2014

3777 S RIDGEWOOD AVE, PORT ORANGE, FL 32129(386) 760-1200 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Larissa W Hanson D.m.d. NPPES

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

DR. LARISSA W HANSON D.M.D. (NPI 1013320142) is an individual general practice provider in Port Orange, Florida, licensed in Florida (DN20640) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1013320142

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LARISSA W HANSONCredential: D.M.D.

Location Address3777 S RIDGEWOOD AVEPort Orange, FL 32129-3528

Mailing Address2937 S Atlantic Ave Apt 1805Daytona Beach Shores, FL 32118-6048 · (386) 760-1200

Phone(386) 760-1200

Sole ProprietorNo

Enumeration DateJune 5, 2014

Last NPPES UpdateJuly 21, 2014

✔ NPI 1013320142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN20640

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3777 S RIDGEWOOD AVE, Port Orange, FL 32129

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Larissa Hanson's NPI number?

The NPI number for Larissa Hanson is 1013320142. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Larissa Hanson located?

Larissa Hanson practices at 3777 S Ridgewood Ave, Port Orange, FL 32129. The listed phone number is (386) 760-1200.

What is Larissa Hanson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Larissa Hanson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 1 other insurer list Larissa Hanson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larissa Hanson was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.