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VERNON A. LARSEN D.D.S., S.C.
NPI 1396768669
Dentist - General Practice in Menasha, WI

Active since July 26, 2006
59 RACINE ST, MENASHA, WI 54952(920) 722-4293(920) 722-3394 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vernon A. Larsen D.d.s., S.c. NPPES

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

VERNON A. LARSEN D.D.S., S.C. (NPI 1396768669) is a healthcare organization registered as a general practice in Menasha, Wisconsin and active in the NPI registry since July 2006. The organization lists Vernon A Larsen, President, as its authorized official.

NPPES Registry Identity

NPI1396768669
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVERNON A. LARSEN D.D.S., S.C.
Location Address59 RACINE STMenasha, WI 54952-3133
Mailing Address59 Racine StMenasha, WI 54952-3133 · (920) 722-4293 · Fax (920) 722-3394
Phone(920) 722-4293
Fax(920) 722-3394
Organization SubpartNo
Authorized OfficialVernon A LarsenPresident · (920) 722-4293
Enumeration DateJuly 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396768669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 4001803
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.

59 RACINE ST, Menasha, WI 54952
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Other Identifiers 1

Medicaid33600000WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Vernon A. Larsen D.D.S., S.C.'s NPI number?

The NPI number for Vernon A. Larsen D.D.S., S.C. is 1396768669. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Vernon A. Larsen D.D.S., S.C. located?

Vernon A. Larsen D.D.S., S.C. is located at 59 Racine St, Menasha, WI 54952. The listed phone number is (920) 722-4293.

What is Vernon A. Larsen D.D.S., S.C.'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 Vernon A. Larsen D.D.S., S.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.