JEREMY LARSON DMD
NPI 1770861791
Dentist - General Practice in Boardman, OR

Active since July 25, 2011
300 TATONE, BOARDMAN, OR 97818(888) 468-0022(541) 504-3907 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Larson Dmd NPPES

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

JEREMY LARSON DMD (NPI 1770861791) is an individual general practice provider in Boardman, Oregon, licensed in Oregon (D9625) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1770861791
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEREMY LARSONCredential: DMD
Location Address300 TATONEBoardman, OR 97818
Mailing Address442 Sw Umatilla Ave, Suite 200Redmond, OR 97756-7039 · (541) 504-3900 · Fax (541) 504-3907
Fax(541) 504-3907
Sole ProprietorNo
Enumeration DateJuly 25, 2011
Last NPPES UpdateJanuary 27, 2015
NPI 1770861791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D9625
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.
300 TATONE, Boardman, OR 97818

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
300 TATONE
BOARDMAN, OR 97818
Dentist (General Practice)
300 TATONE
BOARDMAN, OR 97818
Dentist (General Practice)
300 TATONE
BOARDMAN, OR 97818
Dentist
300 TATONE
BOARDMAN, OR 97818

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 Jeremy Larson's NPI number?

The NPI number for Jeremy Larson is 1770861791. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Jeremy Larson located?

Jeremy Larson practices at 300 Tatone, Boardman, OR 97818. The listed phone number is (888) 468-0022.

What is Jeremy Larson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jeremy Larson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental Plan of Oregon and 4 other insurers list Jeremy Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Larson was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.