TYREL LARSEN
NPI 1396366381
Dentist - Orthodontics and Dentofacial Orthopedics in Marion, IL

Active since April 30, 2020
3108 W DEYOUNG ST STE A, MARION, IL 62959(479) 254-0669 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyrel Larsen NPPES

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

TYREL LARSEN (NPI 1396366381) is an individual orthodontics and dentofacial orthopedics provider in Marion, Illinois, licensed in Illinois (021.003269) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1396366381
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameTYREL LARSEN
Location Address3108 W DEYOUNG ST STE AMarion, IL 62959-5548
Mailing Address3108 W Deyoung St Ste AMarion, IL 62959-5548 · (479) 254-0669
Sole ProprietorNo
Enumeration DateApril 30, 2020
Last NPPES UpdateNovember 15, 2023
NPPES CertifiedNovember 14, 2023
NPI 1396366381 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 IL · 021.003269
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DS035312 (PA)
3108 W DEYOUNG ST STE A, Marion, IL 62959

Accepted Insurance

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 Tyrel Larsen's NPI number?

The NPI number for Tyrel Larsen is 1396366381. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Tyrel Larsen located?

Tyrel Larsen practices at 3108 W Deyoung St Ste A, Marion, IL 62959. The listed phone number is (479) 254-0669.

What is Tyrel Larsen's specialty?

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

What insurance does Tyrel Larsen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Tyrel 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 Tyrel Larsen was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.