DR. MATTHEW BRENT LARSON (NPI# 1902034119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902034119 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BRENT LARSON |
| Credential | D.D.S. |
| Practice Address |
928 E 100 S Suite A Salt Lake City UT 84102-1455 |
| Practice Telephone | 8018605010 |
| Mailing Telephone | 8018605010 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2010-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7362558-9922 | UT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
7362558-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043534878 | Matthew Golden Larson | Chiropractor | 9316 Carnation Duvall Rd Ne, Carnation, WA 98014-6706 | 2010-03-23 |
| 1417113648 | Matthew J Larson | Driver | 2112 Hoffman Rd, Mankato, MN 56001-5829 | 2008-08-07 |
| 1326002437 | Matthew G. Larson | Social Worker | 24 S 600 E, Ste. 6, Slc, UT 84102 | 2006-04-14 |
| 1346703634 | Matthew Daniel Larson | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-04-12 |
| 1205315108 | Matthew Larson | Physical Therapist | 433 Mendota Rd E, West St Paul, MN 55118-5104 | 2018-08-10 |
| 1316444615 | Matthew Erick Larson | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-12 |
| 1316352834 | Matthew Larson | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2014-06-23 |
| 1982941027 | Matthew Larson | Social Worker | 16 12th Ave S, Suite 201, Nampa, ID 83651-3936 | 2013-01-09 |
| 1922353739 | Matthew W Larson | Pharmacist | 23 Slayton Ave, Spencerport, NY 14559-1427 | 2012-07-17 |
| 1609134675 | Matthew Thor Larson | Pharmacist | 20 W Main St, Crosby, MN 56441-1422 | 2012-04-27 |
| Street Address |
928 E 100 S SUITE A |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699878272 | Timothy Sears Evans | Dentist | 928 E 100 S, Suite E, Salt Lake City, UT 84102 | 2006-09-07 |
| 1083958433 | Casey Wood Clifford | Dentist | 928 E 100 S, Suite E, Salt Lake City, UT 84102-1455 | 2012-11-23 |
| 1346446150 | Scott Andrew Larson | Dentist | 928 E 100 S, Salt Lake City, UT 84102-1455 | 2007-06-27 |
| 1154449320 | William R. Larson | Dentist | 928 E 100 S, #a, Salt Lake City, UT 84102-1455 | 2007-03-27 |
| 1417081308 | Eric A. Larson | Dentist | 928 E 100 S, Ste #b, Salt Lake City, UT 84102-1455 | 2007-03-15 |
| 1891829941 | Brent A. Larson | Dentist | 928 E 100 S, Ste #a, Salt Lake City, UT 84102-1455 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| 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 |
|---|---|---|---|---|
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1710450655 | Kelly D. Carroll D.d.s., PC | Dentist | 2114 E Fort Union Blvd, Salt Lake City, UT 84121-3142 | 2019-01-03 |
| 1730667031 | Hm Salt Lake | Dentist | 7138 S Highland Dr Ste 214, Salt Lake City, UT 84121-3783 | 2018-07-30 |
| 1316430721 | Kyle Perkins | Dentist | 268 W 400 S, Salt Lake City, UT 84101-1831 | 2018-06-11 |
| 1730634353 | Kyle J Baldwin | Dentist | 4046 S Highland Dr, Ste #113, Salt Lake City, UT 84124-1673 | 2016-08-24 |
| 1780047670 | Dane Parke Mullinax | Dentist | 831 S 700 E, Salt Lake City, UT 84102-3505 | 2016-03-30 |
| 1396105425 | Michael Lee Vanleeuwen | Dentist | 6936 S Promenade Dr Ste 201, Salt Lake City, UT 84121-3365 | 2016-03-02 |
| 1831555168 | Smile Dental Studio PC | Dentist | 1400 S Foothill Dr, Ste #36, Salt Lake City, UT 84108-2392 | 2015-12-31 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.