Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376570242 Individual Practitioner Male Practitioner

Dr. Michael Andrew Larsen , DDS

Dentist - General Practice • Burley, ID

Professional Overview & Biography Verified Profile Summary

Dr. Michael Larsen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Burley, ID. Practice services are available at 1361 E 16TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1361 E 16th St

Burley, ID 833182008

Telephone 2086775198
Fax 2086782245
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Burley, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Burley, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-3993

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE10258

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5050232 (WA)
Medicaid State Provider ID
807518200 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1063846459

Doctor of Dental Medicine

Dr. Kelby Olson , DMD

Dentist - General Practice

NPI 1609005966

Doctor of Dental Medicine

Dr. Brett Lancaster , DMD

Dentist - General Practice

NPI 1619296605

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2012

Registered at 1361 E 16TH ST, BURLEY, ID 833182008 (Tel: 2086775198)

📍
Updated Business Mailing Address November 27, 2012

Registered at 794 EASTLAND DR, TWIN FALLS, ID 833016856 (Tel: 2087343312)

👤
Provider Name / Credentials Updated November 27, 2012

Recorded as MICHAEL LARSEN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2012

Dentist (License #DE10258 in WA)

🟢
Initial NPI Registration & Enumeration June 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376570242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: November 27, 2012
Sole Proprietor: No

Mailing Address

794 Eastland Dr

Twin Falls, ID 833016856

Phone: 2087343312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.