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SANDRA SUE LARSON DDS
NPI 1619039922
Dentist - General Practice in Lincoln, NE

Active since December 14, 2006
1919 SOUTH 40TH ST, SUITE 105, LINCOLN, NE 68506(402) 483-1054(402) 483-1056 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Sue Larson Dds NPPES

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

SANDRA SUE LARSON DDS (NPI 1619039922) is an individual general practice provider in Lincoln, Nebraska, licensed in Nebraska (5345) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1619039922
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSANDRA SUE LARSONCredential: DDS
Location Address1919 SOUTH 40TH ST, SUITE 105Lincoln, NE 68506-5247
Mailing Address1919 South 40th St, Suite 105Lincoln, NE 68506-5247 · (402) 483-1054 · Fax (402) 483-1056
Phone(402) 483-1054
Fax(402) 483-1056
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619039922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 5345
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.
1919 SOUTH 40TH ST, Lincoln, NE 68506
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Other Identifiers 1

Medicaid47072666100NE

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 Sandra Larson's NPI number?

The NPI number for Sandra Larson is 1619039922. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Sandra Larson located?

Sandra Larson practices at 1919 South 40th St Suite 105, Lincoln, NE 68506. The listed phone number is (402) 483-1054.

What is Sandra Larson'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 Sandra Larson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.