LARSEN DENTAL CARE
NPI 1104061449
Dentist - General Practice in Pocatello, ID

Active since December 15, 2008
950 HOSPITAL WAY, SUITE B, POCATELLO, ID 83201(208) 233-7007(208) 233-2512 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larsen Dental Care NPPES

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

LARSEN DENTAL CARE (NPI 1104061449) is a healthcare organization registered as a general practice in Pocatello, Idaho and active in the NPI registry since December 2008. The organization lists Bryce R Larsen, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1104061449
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLARSEN DENTAL CARE
Location Address950 HOSPITAL WAY, SUITE BPocatello, ID 83201-2789
Mailing Address950 Hospital Way, Suite BPocatello, ID 83201-2789 · (208) 233-7007 · Fax (208) 233-2512
Fax(208) 233-2512
Organization SubpartNo
Authorized OfficialBryce R LarsenDentist Owner · (208) 233-7007
Enumeration DateDecember 15, 2008
NPI 1104061449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in ID · D-3894 Licensed in ID · D-1599
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.

950 HOSPITAL WAY, Pocatello, ID 83201

Other Identifiers 1

Medicaid8072105ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Dentist (General Practice)
950 HOSPITAL WAY, SUITE B
POCATELLO, ID 83201
Dentist (General Practice)
950 HOSPITAL WAY, SUITE B
POCATELLO, ID 83201
Dentist (General Practice)
950 HOSPITAL WAY, SUITE B
POCATELLO, ID 83201
Non-Pharmacy Dispensing Site
950 HOSPITAL WAY
POCATELLO, ID 83201
Orthopaedic Surgery
950 HOSPITAL WAY, STE A
POCATELLO, ID 83201
Family Medicine (Sports Medicine)
950 HOSPITAL WAY, STE A
POCATELLO, ID 83201
Pediatrics
950 HOSPITAL WAY, SUITE A
POCATELLO, ID 83201
Orthopaedic Surgery (Sports Medicine)
950 HOSPITAL WAY, STE A
POCATELLO, ID 83201

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 Larsen Dental Care's NPI number?

The NPI number for Larsen Dental Care is 1104061449. It was assigned to this organization in the NPPES registry on December 15, 2008.

Where is Larsen Dental Care located?

Larsen Dental Care is located at 950 Hospital Way Suite B, Pocatello, ID 83201. The listed phone number is (208) 233-7007.

What is Larsen Dental Care's specialty?

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

When was this NPI record last updated?

The NPPES record for Larsen Dental Care was last updated on December 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.