Active NPI 1295048692 Individual Practitioner Male Practitioner

Dr. Carl Larson , DDS

Dentist - General Practice • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Dr. Carl Larson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Meridian, ID. Practice services are available at 3909 E FAIRVIEW AVE STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3909 E Fairview Ave Ste 150

Meridian, ID 836425814

Telephone 2089965808

Associated Practice Facility / Clinic

🏢 Adacare Dental & Dentures Pllc Facility NPI 1316687437

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Meridian, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.3 Yrs

Regional Practice Density

78 Specialists

Practicing in Meridian, 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

CMS Verified: 2021-04-22

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-4553

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.

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 22, 2021

Registered at 3909 E FAIRVIEW AVE STE 150, MERIDIAN, ID 836425814 (Tel: 2089965808)

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Updated Business Mailing Address April 22, 2021

Registered at 3909 E FAIRVIEW AVE STE 150, MERIDIAN, ID 836425814 (Tel: 2089965808)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2021

Dentist (License #D-4553 in ID)

✅

NPI Profile Active January 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2012

Registered at 2402 19TH ST, LUBBOCK, TX 794014414 (Tel: 2087578599)

📍

Updated Business Mailing Address January 13, 2012

Registered at 223 INDIANA AVE APT 1306, LUBBOCK, TX 794155366 (Tel: 2087578599)

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Provider Name / Credentials Updated January 13, 2012

Recorded as CARL LARSON, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2012

Dentist (License #25742 in TX)

🟢

Initial NPI Registration & Enumeration July 15, 2010

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: 1295048692

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 15, 2010

Last Update: April 22, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3909 E Fairview Ave Ste 150

Meridian, ID 836425814

Phone: 2089965808

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.