SAMUEL EMMANUEL LARSON - NPI 1508797119 - Dentist in Saint Paul, MN

Q: What is Samuel Larson's NPI number?

The NPI number for Samuel Larson is 1508797119. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Q: What is Samuel Larson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Larson was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

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About Samuel Emmanuel Larson NPPES

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

SAMUEL EMMANUEL LARSON (NPI 1508797119) is an individual dentist in Saint Paul, Minnesota, licensed in Minnesota (D15427) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1508797119

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSAMUEL EMMANUEL LARSON

Location Address1790 7TH ST ESaint Paul, MN 55119-3419

Mailing Address11585 Quail Ave NStillwater, MN 55082-4791 · (651) 434-7247

Phone(651) 735-0595

Sole ProprietorYes

Enumeration DateMay 25, 2026

NPPES CertifiedMay 25, 2026

✔ NPI 1508797119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D15427

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1790 7TH ST E, Saint Paul, MN 55119

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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

Other Providers at the Same Location NPPES 16

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

DENTAL ASSOCIATES OF ST. PAUL PA

Dentist (General Practice)