DR. CHAD EVANS LARSON D.D.S., M.S.
NPI 1609208826
Dentist - Orthodontics and Dentofacial Orthopedics in Rochester, MN

Active since July 30, 2013
1705 BROADWAY AVE S STE A, ROCHESTER, MN 55904(507) 288-4427(507) 288-8497 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2021, May 17, 2021 (2 updates tracked since 2021).

About Dr. Chad Evans Larson D.d.s., M.s. NPPES

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

DR. CHAD EVANS LARSON D.D.S., M.S. (NPI 1609208826) is an individual orthodontics and dentofacial orthopedics provider in Rochester, Minnesota, licensed in Minnesota (13231) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1609208826
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. CHAD EVANS LARSONCredential: D.D.S., M.S.
Location Address1705 BROADWAY AVE S STE ARochester, MN 55904-7973
Mailing Address1705 Broadway Ave S Ste ARochester, MN 55904-7973 · (507) 288-4427 · Fax (507) 288-8497
Fax(507) 288-8497
Sole ProprietorNo
Enumeration DateJuly 30, 2013
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
NPI 1609208826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MN · 13231
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.

1705 BROADWAY AVE S STE A, Rochester, MN 55904

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
1705 BROADWAY AVE S STE A
ROCHESTER, MN 55904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609208826, enumerated as an "individual" on July 30, 2013.

The provider is located at 1705 BROADWAY AVE S STE A ROCHESTER, MN 55904 and the phone number is (507) 288-4427.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.