WILLIAM KIM LARSON (NPI# 1164519625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164519625 |
| Entity Type | Individual |
| Full Name | WILLIAM KIM LARSON |
| Credential | DDS |
| Practice Address |
122 Colfax Ave Sw Wadena MN 56482-1470 |
| Practice Telephone | 2186314525 |
| Practice Fax Number | 2186313998 |
| Mailing Telephone | 2186314525 |
| Mailing Fax Number | 2186313998 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12083 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952555922 | William David Larson | Military Health Care Provider | 350 South Crag Rd., Panama City, FL 32407-7013 | 2008-11-04 |
| 1831301183 | William Evert Larson | Dentist | 3755 Murphy Canyon Rd, Suite D, San Diego, CA 92123-4412 | 2007-05-07 |
| 1558586875 | William M. Larson | Pediatrics | 7227 Bern St, Anchorage, AK 99507-2731 | 2007-04-13 |
| 1942362892 | William Keat Larson | Dentist | 211 South 5th Street, Moorhead, MN 56560 | 2006-12-15 |
| 1568427359 | William Glenn Larson | Physical Therapist | 1510 Lakeshore Drive, Hot Springs, AR 71913 | 2006-04-18 |
| 1932517844 | William Larson | Pharmacist | 1221 W Lake St Ste 201, Minneapolis, MN 55408-3565 | 2014-07-24 |
| 1205162872 | William Alan Larson | Physical Therapist | 3580 W 9000 S, C/o Jordan Valley Medical Center, West Jordan, UT 84088-8812 | 2009-11-02 |
| 1467685156 | William Larson | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2009-08-27 |
| 1154449320 | William R. Larson | Dentist | 928 E 100 S, #a, Salt Lake City, UT 84102-1455 | 2007-03-27 |
| 1407924590 | William Richard Larson | Dentist | 516 Delaware St Se, 7th Floor Pwb, Minneapolis, MN 55455-0356 | 2006-11-30 |
| Street Address |
122 COLFAX AVE SW |
| City | WADENA |
| State | MN |
| Zip Code | 56482-1470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959423 | Jessica Lee Noreen | Dentist | 122 Colfax Ave Sw, Wadena, MN 56482-1470 | 2020-07-15 |
| 1437319886 | Ann T. Jacobs | Dentist | 122 Colfax Ave Sw, Wadena, MN 56482-1470 | 2008-06-10 |
| 1881864049 | Wadena Family Dental, P. A. | Dentist | 122 Colfax Ave Sw, Wadena, MN 56482-1470 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
| 1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
| 1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
| 1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
| 1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
| 1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
| 1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
| 1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
| 1255312013 | Alfredmy G Chessor | General Practice | 4 Deerwood Ave Nw, Wadena, MN 56482 | 2005-11-09 |
| 1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
| Find all providers in zip 56482 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235467473 | Reuter Family Dentistry, L.L.C. | Dentist | 206 1st St Se, Wadena, MN 56482-1561 | 2009-11-30 |
| 1881864049 | Wadena Family Dental, P. A. | Dentist | 122 Colfax Ave Sw, Wadena, MN 56482-1470 | 2008-03-04 |
| 1982779989 | James H Matthiae | Dentist | 206 1st St Se, Wadena, MN 56482-1561 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WILLIAM KIM LARSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.