Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164519625 Individual Practitioner Male Practitioner

Dr. William Kim Larson , DDS

Dentist - General Practice • Wadena, MN

Professional Overview & Biography Verified Profile Summary

Dr. William Larson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wadena, MN. Practice services are available at 122 COLFAX AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

122 Colfax Ave Sw

Wadena, MN 564821470

Telephone 2186314525
Fax 2186313998
Associated Practice Facility / Clinic
🏢 Wadena Family Dental, P. A. Facility NPI 1881864049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wadena, MN

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

Practicing in Wadena, 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 D12083

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

3 Associated Practitioners
NPI 1336286228

Doctor of Dental Surgery

NPI 1356959423

Doctor of Dental Surgery

NPI 1437319886

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2007

Registered at 122 COLFAX AVE SW, WADENA, MN 564821470 (Tel: 2186314525)

📍
Updated Business Mailing Address July 16, 2007

Registered at 122 COLFAX AVE SW, WADENA, MN 564821470 (Tel: 2186314525)

👤
Provider Name / Credentials Updated July 16, 2007

Recorded as WILLIAM LARSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Dentist (License #D12083 in MN)

🟢
Initial NPI Registration & Enumeration October 06, 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: 1164519625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: July 16, 2007
Sole Proprietor: No

Mailing Address

122 Colfax Ave Sw

Wadena, MN 564821470

Phone: 2186314525

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.