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

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: July 19, 2026.

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 provider in Mesa, Arizona, licensed in Arizona (D5678) and active in the NPI registry since October 2006.Information from the official NPPES registry record, last updated July 9, 2007.

NPPES Registry Identity

NPI1114010188
Entity TypeIndividualFemale
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. How NPI validation works

★ Primary Specialty

Dentist

Taxonomy 122300000X · Dental Providers

✔ Licensed in AZ · D5678

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… Show more

1245 E SOUTHERN AVE, Mesa, AZ 85204
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Also on File with NPPES

Other Names1
Ms. Susan Michelle Matchinsky D.d.s. (Other Name (5))
Other Identifiers1
703323 (Medicaid, AZ)
Accepted insurance plans are listed on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Reviews for DR. SUSAN MICHELLE LARSEN D.D.S.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

DR. ANGELA SHANTHINI RATNAM D.D.S.
Dentist (Pediatric Dentistry)
1245 E SOUTHERN AVE, STE 12
MESA, AZ 85204
Maricopa County (480) 610-6544
DENTISTRY FOR CHILDREN PLLC
Dentist
1245 E SOUTHERN AVE, STE 12
MESA, AZ 85204
Maricopa County (480) 610-6544

Frequently Asked Questions

What is Susan Larsen's NPI number?

The NPI number assigned to this healthcare provider is 1114010188, enumerated as an "individual" on October 02, 2006.

Where is the provider located?

The provider is located at 1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 and the phone number is (480) 610-6544.

What is the provider's specialty?

Dentist with taxonomy code 122300000X.

What insurance does Susan Larsen accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Anthem Blue. Please consult your insurance carrier or call the provider to verify.