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Deactivated NPI 1275538472 Deactivated / Inactive NPI Male Practitioner

Dr. Kermit Donald Larson , DMD

Dentist - General Practice • Silverton, OR

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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. Kermit Larson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Kermit Larson, DMD was a registered Dentist - General Practice practicing in Silverton, OR. Throughout an active medical career spanning 1 years, Dr. Larson provided care at the practice location at 410 OAK ST until profile deactivation on 2006-03-17.

Practice Location & Contact Primary Location

Practice Address

410 Oak St

Silverton, OR 973811721

Telephone 5038733530
Fax 5038734370

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Silverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Silverton, OR (1994 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 OR 5067

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

8 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

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Updated Practice Location July 08, 2007

Registered at 410 OAK ST, SILVERTON, OR 973811721 (Tel: 5038733530)

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Updated Business Mailing Address July 08, 2007

Registered at 410 OAK ST, SILVERTON, OR 973811721 (Tel: 5038733530)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KERMIT LARSON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5067 in OR)

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NPI Profile Reactivated April 04, 2006

Record officially reactivated for active practice on April 04, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration June 15, 2005

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: 1275538472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2005
Last Update: July 08, 2007
Deactivation Date: March 17, 2006

Mailing Address

410 Oak St

Silverton, OR 973811721

Phone: 5038733530

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.