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Contact Information

ELLIOT D LARSON, D.D.S., M.S.
7814 EXCELSIOR RD
BAXTER, MN56425-8427
 Phone: 218-454-2400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ELLIOT D LARSON · (Male)

NPI Number 1295229680
Status Active
Credentials D.D.S., M.S.
Entity Individual
Enumeration date 06/19/2018
Last updated 10/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # D-4940
  • MN License # D14244
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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