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SAMUEL LARSEN
NPI 1437776606
Dental Assistant in San Diego, CA

Active since July 02, 2020
4403 MARLBOROUGH AVE, SAN DIEGO, CA 92116(952) 486-9759 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2026, Jul 2, 2020 (2 updates tracked since 2020).

About Samuel Larsen NPPES

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

SAMUEL LARSEN (NPI 1437776606) is an individual dental assistant in San Diego, California, licensed in Washington (D160946710) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1437776606
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameSAMUEL LARSEN
Location Address4403 MARLBOROUGH AVESan Diego, CA 92116-4727
Mailing Address5225 50th Ave Ne Unit 207Seattle, WA 98105-2872
Phone(952) 486-9759
Sole ProprietorNo
Enumeration DateJuly 2, 2020
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1437776606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in WA · D160946710
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Also ListedDentistTaxonomy 122300000X · License 112429 (CA)
4403 MARLBOROUGH AVE, San Diego, CA 92116
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THANH HAI CHU DDS
Dentist
4403 MARLBOROUGH AVE
SAN DIEGO, CA 92116
San Diego County (619) 282-7011
STEVEN J BYERS DDS
Dentist
4403 MARLBOROUGH AVE
SAN DIEGO, CA 92116
San Diego County (619) 282-7060
ALICE MURAR RDH
Dental Hygienist
4403 MARLBOROUGH AVE
SAN DIEGO, CA 92116
San Diego County (619) 282-7060

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 Samuel Larsen's NPI number?

The NPI number for Samuel Larsen is 1437776606. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Samuel Larsen located?

Samuel Larsen practices at 4403 Marlborough Ave, San Diego, CA 92116. The listed phone number is (952) 486-9759.

What is Samuel Larsen's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Samuel Larsen was last updated on February 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.