Search › Oregon › 1223G0001X
John Larson, DMD
NPI 1427125467 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1290 W Centennial Blvd
Suite 1
Springfield, OR 97477 - Phone
- (541) 741-0602
- Fax
- (541) 741-0615
- Organisation at this address
- Centennial Family Dental Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon