Dr. Keith Rodney Larson , DMD
Dentist - General Practice • Beaverton, OR
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. Keith Larson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Keith Larson, DMD was a registered Dentist - General Practice practicing in Beaverton, OR. Throughout an active medical career spanning 20 years, Dr. Larson provided care at the practice location at 17895 NW EVERGREEN PKWY until profile deactivation on 2025-10-30.
Practice Location & Contact Primary Location
17895 Nw Evergreen Pkwy
Beaverton, OR 970067402
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Beaverton, OR
Practicing in Beaverton, OR (1994 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Dental Hygienist
Registered Dental Hygienist
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 30, 2025
NPI status registered as active in NPPES database
Registered at 17895 NW EVERGREEN PKWY, BEAVERTON, OR 970067402 (Tel: 5035339868)
Registered at 17895 NW EVERGREEN PKWY, BEAVERTON, OR 970067402 (Tel: 5035339868)
Recorded as KEITH LARSON, DMD
Dentist (License #4338 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
17895 Nw Evergreen Pkwy
Beaverton, OR 970067402
Phone: 5035339868
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