NIELS WILLARD LARSEN V D.D.S.
NPI 1770796070
Dentist - General Practice in Pocatello, ID

Active since May 07, 2007
950 HOSPITAL WAY, SUITE B, POCATELLO, ID 83201(208) 233-7007(208) 233-2512 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Niels Willard Larsen V D.d.s. NPPES

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

NIELS WILLARD LARSEN V D.D.S. (NPI 1770796070) is an individual general practice provider in Pocatello, Idaho, licensed in Idaho (D-1599) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1770796070
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNIELS WILLARD LARSEN VCredential: D.D.S.
Location Address950 HOSPITAL WAY, SUITE BPocatello, ID 83201-2789
Mailing Address950 Hospital Way, Suite BPocatello, ID 83201-2789 · (208) 233-7007 · Fax (208) 233-2512
Fax(208) 233-2512
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770796070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-1599
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.
950 HOSPITAL WAY, Pocatello, ID 83201

Other Providers at the Same Location NPPES 9

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

Family Medicine (Sports Medicine)
950 HOSPITAL WAY, STE A
POCATELLO, ID 83201
Dentist (General Practice)
950 HOSPITAL WAY, SUITE B
POCATELLO, ID 83201
Orthopaedic Surgery
950 HOSPITAL WAY, STE A
POCATELLO, ID 83201
Non-Pharmacy Dispensing Site
950 HOSPITAL WAY
POCATELLO, ID 83201
Dentist (General Practice)
950 HOSPITAL WAY, SUITE B
POCATELLO, ID 83201
Physician Assistant (Medical)
950 HOSPITAL WAY, SUITE A
POCATELLO, ID 83201
Pediatrics
950 HOSPITAL WAY, SUITE A
POCATELLO, ID 83201
Orthopaedic Surgery (Sports Medicine)
950 HOSPITAL WAY, STE A
POCATELLO, ID 83201

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 Niels Larsen's NPI number?

The NPI number for Niels Larsen is 1770796070. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Niels Larsen located?

Niels Larsen practices at 950 Hospital Way Suite B, Pocatello, ID 83201. The listed phone number is (208) 233-7007.

What is Niels Larsen'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 Niels Larsen 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.