DR. ROBERT GARDNER LARSON


Address: 6070 N Keystone Ave, Indianapolis, IN 46220-2585
Phone: 3172536784

DR. ROBERT GARDNER LARSON (NPI# 1710171483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710171483
Entity Type Individual
Full Name DR. ROBERT GARDNER LARSON
Credential DDS MSD
Practice Address 6070 N Keystone Ave
Indianapolis
IN 46220-2585
Practice Telephone 3172536784
Practice Fax Number 3178039917
Mailing Telephone 3172536784
Mailing Fax Number 3178039917
Enumeration Date 2007-09-05
Last Update Date 2007-09-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 8110 IN Dental Providers
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
8110 IN Dental Providers

Other Providers ROBERT LARSON

NPI Name Taxonomy Address Enumeration
1841608130 Robert Larson Community Health Worker 6592 49th St N, Oakdale, MN 55128-2001 2014-07-30
1194942763 Robert Louis Larson Dentist 260 Country Club Rd, Suite 220, Eugene, OR 97401-6026 2007-04-18
1205952165 Robert C. Larson Chiropractor 2981 Us Route 7, Pittsford, VT 05763 2007-03-22
1952478489 Robert Frank Larson Dentist 201 4th Ave Nw, Roseau, MN 56751-1033 2006-11-29
1366532913 Robert Larson Podiatrist 4701 N. Las Vegas Blvd., N. Las Vegas, NV 89191 2006-10-13
1467547059 Robert A Larson Dentist 412 S 13th St, Sunnyside, WA 98944-1571 2006-10-03
1780787929 Robert L Larson Chiropractor 2147 Overland Ave, Suite 101, Billings, MT 59102-6478 2006-09-06
1801867197 Robert Owen Larson Dentist 15101 E Iliff Ave, Suite Number 280, Aurora, CO 80014-4543 2006-01-27
1568443091 Robert Aric Larson Optometrist 15420 S Route 59, Ste #7, Plainfield, IL 60544-1984 2005-11-10
1942200233 Robert Douglas Larson Chiropractor 3241 E Shea Blvd, Phoenix, AZ 85028-3335 2005-07-28

Office Location

Street Address 6070 N KEYSTONE AVE
City INDIANAPOLIS
State IN
Zip Code 46220-2585

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1902361017 Stephanie Jean Tellus Physical Therapist 5620 Carvel Ave, Indianapolis, IN 46220 2019-02-02
1861972879 Ashley M Pondexter Counselor 820 E 64th St, Indianapolis, IN 46220 2018-08-19
1649766403 Amy Yonan Social Worker 3830 Rue Delacroix, Indianapolis, IN 46220 2018-07-05
1295226066 Royal Comfort Home Care In Home Supportive Care 2804 55th Pl Ste K, Indianapolis, IN 46220 2018-05-28
1104322148 Jessica Lynn Neidlinger Counselor 819 E 64th St Ste 220, Indianapolis, IN 46220 2018-03-30
1497273494 Squareone Wellness Nurse Practitioner 5422 N Keystone Ave, Indianapolis, IN 46220 2017-08-30
1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
1346762283 Nicole Shields Specialist/Technologist 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 2017-07-12
1972033389 Laurie Budlong-morse Marriage & Family Therapist 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 2017-06-18
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508376708 Glander Rochford Orthodontics, LLC Dentist 8445 S Emerson Ave Ste 102, Indianapolis, IN 46237-9597 2017-10-03
1063941391 Premier Orthodontics LLC Dentist 8860 Zionsville Rd Ste B, Indianapolis, IN 46268-1043 2017-06-09
1699211169 J. Orthodontics Inc Dentist 8071 Township Line Rd Ste 100, Indianapolis, IN 46260-2601 2017-01-09
1043661028 Jamie Lazin Dentist 11 E 58th St, Indianapolis, IN 46220-2519 2016-06-30
1730561416 Erin Zervas Dentist 6230 Tybalt Pl, Indianapolis, IN 46254-5164 2015-06-18
1376891200 Marisa Anne Walker Dentist 7205 N Shadeland Ave, Indianapolis, IN 46250-2021 2012-08-27
1972884047 Larrabee Orthodontics, Pllc Dentist 8513 Country Meadows Dr, Indianapolis, IN 46234-1881 2011-09-02
1114138187 Karl William Glander II Dentist 7750 Madison Ave, Indianapolis, IN 46227-5606 2007-05-24
1447466925 Karen Locke Cottingham Dentist 3916 Shore Dr, Indianapolis, IN 46254-2604 2007-05-14
1285847376 Northeast Orthodontics Dentist 7205 North Shadeland Avenue, Indianapolis, IN 46250 2007-05-07
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46220

Improve Information

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Dataset Information

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.

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