DR. KENNETH CRAIG LARSON (NPI# 1174691836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174691836 |
| Entity Type | Individual |
| Full Name | DR. KENNETH CRAIG LARSON |
| Credential | DDS |
| Practice Address |
2860 Piedmont Ave Duluth MN 55811-2938 |
| Practice Telephone | 2187220823 |
| Practice Fax Number | 2187227635 |
| Mailing Telephone | 2187220823 |
| Mailing Fax Number | 2187227635 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9183 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952462384 | Kenneth G Larson | Optometrist | 4580 State St, Green Acres Plaza, Saginaw, MI 48603-3803 | 2006-12-12 |
| 1891806675 | Kenneth L. Larson | Psychologist | 1891 E Roseville Pkwy Ste 100, Roseville, CA 95661-7974 | 2006-08-31 |
| 1629051974 | Kenneth Duane Larson | Pharmacist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2005-11-21 |
| 1487168977 | Kenneth Dale Larson | Counselor | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2017-11-21 |
| 1043379829 | Kenneth B Larson | Physician Assistant | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2006-12-07 |
| 1689741795 | Kenneth W. Larson | Surgery | 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 | 2006-11-30 |
| 1659451441 | Kenneth Andrew Larson | Surgery | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 | 2006-10-16 |
| Street Address |
2860 PIEDMONT AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356456719 | David Matthew Haugen | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2006-08-19 |
| 1316503386 | Megan Lorraine Ecker | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2019-05-15 |
| 1013201300 | Jonathan P. Nash | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2011-06-03 |
| 1609944339 | Clyde H. Finch | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2006-12-01 |
| 1326116070 | Brian J. Mart | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2006-12-01 |
| 1730257486 | Eugene Joseph Schneeweis | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2006-12-01 |
| 1699843334 | Sandra J. Finch | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2006-12-01 |
| 1700971652 | Oral and Maxillofacial Surgical Associates | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1477074466 | Kelly Ann Pohlman | Dentist | 3700 Crestwood Pkwy Nw Ste 180, Duluth, GA 30096-5583 | 2017-06-29 |
| 1487191649 | Sage Dental Group of Georgia, LLC | Dentist | 11160 Medlock Bridge Rd, Suite 120, Duluth, GA 30097-2590 | 2017-01-26 |
| 1730538661 | Gianna Paola Koker | Dentist | 4310 Menard Dr Ste 300, Duluth, MN 55811-1564 | 2016-06-10 |
| 1932560034 | Jasmine Ahn | Dentist | 7063 Belltoll Ct, Duluth, GA 30097-2507 | 2016-03-16 |
| 1518340009 | Go Eun Kim | Dentist | 2476 Pleasant Hill Rd Ste 201, Duluth, GA 30096-4300 | 2015-07-02 |
| 1912315730 | Jonathan Hu Chang | Dentist | 1630 Pleasant Hill Rd Ste 200, Duluth, GA 30096-5828 | 2014-07-24 |
| 1861836553 | Joanna I Bodea | Dentist | 5805 State Bridge Rd Ste L, Duluth, GA 30097-6427 | 2013-04-24 |
| 1154669406 | Thomas E Geoghegan | Dentist | 2785 Buford Hwy, Bldg. B, Suite 101, Duluth, GA 30096-2800 | 2013-01-22 |
| Find all providers in DULUTH | ||||
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| 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.