SearchIllinoisDentist

Paul Larsen, DDS

NPI 1609955798 · on the registry since 2006 · sole proprietor

Practice

Address
1704 Patton Dr Ste 1
Mahomet, IL 61853
Phone
(203) 530-3136
Clinicians at this address
4

Additional practice sites

  • 165 W University Dr, Mishawaka, IN

Registry record

Primary taxonomy
Dentist
122300000X
Also registered as
Dentist
Licence states on file
IL, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-09

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 Illinois