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Deactivated NPI 1083683437 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Wayne Erickson , DDS

Dentist - General Practice • St. Anthony, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Erickson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 17, 2006
NPI Deactivation Date March 26, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Erickson, DDS was a registered Dentist - General Practice practicing in St. Anthony, MN. Throughout an active medical career spanning 20 years, Dr. Erickson provided care at the practice location at 4001 STINSON BLVD NE until profile deactivation on 2026-03-26.

Practice Location & Contact Primary Location

Practice Address

4001 Stinson Blvd Ne
Suite 414

St. Anthony, MN 55421

Telephone 6127897888
Fax 6127897889

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St. Anthony, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
2 Specialists

Practicing in St. Anthony, MN (2262 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 MN 8758

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

7 Historical Events
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NPI Profile Deactivated March 26, 2026

Record deactivated on March 26, 2026

NPI Profile Active December 15, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 15, 2010

Registered at 4001 STINSON BLVD NE, SUITE 414, ST. ANTHONY, MN 55421 (Tel: 6127897888)

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Updated Business Mailing Address December 15, 2010

Registered at 4001 STINSON BLVD NE, SUITE 414, ST. ANTHONY, MN 55421 (Tel: 6127897888)

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Provider Name / Credentials Updated December 15, 2010

Recorded as LARRY ERICKSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2010

Dentist (License #8758 in MN)

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Initial NPI Registration & Enumeration March 17, 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: 1083683437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2006
Last Update: December 15, 2010
Deactivation Date: March 26, 2026

Mailing Address

4001 Stinson Blvd Ne, Suite 414

St. Anthony, MN 55421

Phone: 6127897888

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.