DR. SUSAN MICHELLE LARSEN D.D.S.
NPI 1114010188
Dentist in Mesa, AZ

Q: What is Susan Larsen's NPI number?

The NPI number for Susan Larsen is 1114010188. It was assigned to this individual provider in the NPPES registry on October 2, 2006. The provider is also known as Ms. Susan Michelle Matchinsky D.D.S..

Q: What is Susan Larsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan 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.

Active since October 02, 2006

1245 E SOUTHERN AVE, STE 12, MESA, AZ 85204(480) 610-6544(480) 633-0670 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Susan Michelle Larsen D.d.s. NPPES

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

DR. SUSAN MICHELLE LARSEN D.D.S. (NPI 1114010188) is an individual dentist in Mesa, Arizona, licensed in Arizona (D5678) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114010188

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SUSAN MICHELLE LARSENCredential: D.D.S.

Location Address1245 E SOUTHERN AVE, STE 12Mesa, AZ 85204-5137

Mailing Address1245 E Southern Ave, Ste 12Mesa, AZ 85204-5137 · (480) 610-6544 · Fax (480) 633-0670

Phone(480) 610-6544

Fax(480) 633-0670

Sole ProprietorYes

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1114010188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D5678

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.

1245 E SOUTHERN AVE, Mesa, AZ 85204

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Other Names 1

Other Name (5)Ms. Susan Michelle Matchinsky D.d.s.

Other Identifiers 1

Medicaid703323AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DENTISTRY FOR CHILDREN PLLC

Dentist

1245 E SOUTHERN AVE, STE 12
MESA, AZ 85204

Maricopa County (480) 610-6544

DR. ANGELA SHANTHINI RATNAM D.D.S.

Dentist (Pediatric Dentistry)

1245 E SOUTHERN AVE, STE 12
MESA, AZ 85204

Maricopa County (480) 610-6544

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 Susan Larsen's NPI number?

The NPI number for Susan Larsen is 1114010188. It was assigned to this individual provider in the NPPES registry on October 2, 2006. The provider is also known as Ms. Susan Michelle Matchinsky D.D.S..

Where is Susan Larsen located?

Susan Larsen practices at 1245 E Southern Ave Ste 12, Mesa, AZ 85204. The listed phone number is (480) 610-6544.

What is Susan Larsen's specialty?

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

What insurance does Susan Larsen accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 10 other insurers list Susan Larsen 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 Susan 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.