DR. STACY LYNN LARSEN DDS
NPI 1336126697
Dentist - General Practice in Fort Bragg, NC

Active since December 28, 2005
DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310(910) 396-5610(910) 396-7017 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacy Lynn Larsen Dds NPPES

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

DR. STACY LYNN LARSEN DDS (NPI 1336126697) is an individual general practice provider in Fort Bragg, North Carolina, licensed in Nebraska (6283) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1336126697
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STACY LYNN LARSENCredential: DDS
Location AddressDEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP, 2817 REILLY RD, MCDS-NA-BFort Bragg, NC 28310-0001
Mailing AddressDepartment Of The Army Dental Activity Stop, 2817 Reilly Rd, Mcds-na-bFort Bragg, NC 28310-0001 · (910) 396-5610 · Fax (910) 396-7017
Fax(910) 396-7017
Sole ProprietorNo
Enumeration DateDecember 28, 2005
Last NPPES UpdateJune 13, 2008
NPI 1336126697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NE · 6283
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.
DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP, Fort Bragg, NC 28310

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.

Dentist (General Practice)
DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP, 2817 REILLY RD, MCDS-NA-B
FORT BRAGG, NC 28310
Dentist (Pediatric Dentistry)
DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP, 2817 REILLY RD, MCDS-NA-B
FORT BRAGG, NC 28310

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 Stacy Larsen's NPI number?

The NPI number for Stacy Larsen is 1336126697. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Stacy Larsen located?

Stacy Larsen practices at Department Of The Army Dental Activity Stop 2817 Reilly Rd, Mcds-Na-B, Fort Bragg, NC 28310. The listed phone number is (910) 396-5610.

What is Stacy Larsen'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 Stacy Larsen was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.