Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295229680 Individual Practitioner Male Practitioner

Dr. Elliot David Larson , DDS, MS

Dentist - Endodontics • Baxter, MN

Professional Overview & Biography Verified Profile Summary

Dr. Elliot Larson, DDS, MS is a registered healthcare professional specializing in Dentist - Endodontics in Baxter, MN. Practice services are available at 7814 EXCELSIOR RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7814 Excelsior Rd

Baxter, MN 564258427

Telephone 2184542400
Associated Practice Facility / Clinic
🏢 Excelsior Dental Care Facility NPI 1124456421

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Baxter, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Baxter, MN (108 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: 2023-10-04
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MN D14244

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MN D14244

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License ID D-4940

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1407814445

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 04, 2023

Registered at 7814 EXCELSIOR RD, BAXTER, MN 564258427 (Tel: 2184542400)

👤
Provider Name / Credentials Updated October 04, 2023

Recorded as ELLIOT LARSON, D.D.S., M.S.

📍
Updated Practice Location January 15, 2022

Registered at 515 DELAWARE ST SE, MINNEAPOLIS, MN 554550357 (Tel: 6126242661)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2022

Dentist (License #D14244 in MN)

📍
Updated Practice Location July 26, 2019

Registered at 1301 HAWTHORNE ST, ALEXANDRIA, MN 563082555 (Tel: 3207620279)

NPI Profile Active June 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2018

Registered at 465 MEMORIAL DR BLDG 83, POCATELLO, ID 832014008 (Tel: 2082826000)

📍
Updated Business Mailing Address June 19, 2018

Registered at 6893 259TH AVE NE, STACY, MN 550793154

👤
Provider Name / Credentials Updated June 19, 2018

Recorded as ELLIOT LARSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2018

Dentist (License #D-4940 in ID)

🟢
Initial NPI Registration & Enumeration June 19, 2018

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: 1295229680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2018
Last Update: October 04, 2023
Sole Proprietor: Yes

Mailing Address

6893 259th Ave Ne

Stacy, MN 550793154

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.