DR. DOUGLAS MARSHALL LARSON D.D.S.
NPI 1366432098
Dentist - Orthodontics and Dentofacial Orthopedics in Jamestown, NY

Active since October 25, 2005
680 FAIRMOUNT AVE, JAMESTOWN, NY 14701(716) 483-1718(716) 661-9623 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas Marshall Larson D.d.s. NPPES

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

DR. DOUGLAS MARSHALL LARSON D.D.S. (NPI 1366432098) is an individual orthodontics and dentofacial orthopedics provider in Jamestown, New York, licensed in New York (049 677) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1366432098
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. DOUGLAS MARSHALL LARSONCredential: D.D.S.
Location Address680 FAIRMOUNT AVEJamestown, NY 14701-2630
Mailing Address680 Fairmount AveJamestown, NY 14701-2630 · (716) 483-1718 · Fax (716) 661-9623
Fax(716) 661-9623
Sole ProprietorYes
Enumeration DateOctober 25, 2005
Last NPPES UpdateMay 12, 2014
NPI 1366432098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 049 677
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 049 677 (NY)
680 FAIRMOUNT AVE, Jamestown, NY 14701

Other Identifiers 1

Medicaid02740834NY

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 Douglas Larson's NPI number?

The NPI number for Douglas Larson is 1366432098. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Douglas Larson located?

Douglas Larson practices at 680 Fairmount Ave, Jamestown, NY 14701. The listed phone number is (716) 483-1718.

What is Douglas Larson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Douglas Larson was last updated on May 12, 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.