Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649696857 Individual Practitioner Male Practitioner

Eric Larson

Dentist - General Practice • Kingston, TN

Professional Overview & Biography Verified Profile Summary

Eric Larson is a registered healthcare professional specializing in Dentist - General Practice in Kingston, TN. Practice services are available at 1011 WATERFORD PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1011 Waterford Pl

Kingston, TN 377632686

Telephone 8653769687
Associated Practice Facility / Clinic
🏢 Lakeview Dental Arts Facility NPI 1366917585

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kingston, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Kingston, TN (2175 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: 2022-04-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN 10868

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 WA DE60562467

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.

Secondary Practice Locations

16825 Smokey Point Blvd

Arlington, WA 982238407

Phone: 3606535197

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1699824789

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 07, 2022

Registered at 1011 WATERFORD PL, KINGSTON, TN 377632686 (Tel: 8653769687)

📍
Updated Business Mailing Address April 07, 2022

Registered at 1011 WATERFORD PL, KINGSTON, TN 377632686

NPI Profile Active January 21, 2016

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 21, 2016

Registered at 16825 SMOKEY POINT BLVD, ARLINGTON, WA 982238407

📍
Updated Practice Location January 21, 2016

Registered at 16825 SMOKEY POINT BLVD, ARLINGTON, WA 982238407 (Tel: 3606535197)

👤
Provider Name / Credentials Updated January 21, 2016

Recorded as ERIC LARSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2016

Dentist (License #DE60562467 in WA)

🟢
Initial NPI Registration & Enumeration March 12, 2014

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: 1649696857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2014
Last Update: April 07, 2022
Sole Proprietor: No

Mailing Address

1011 Waterford Pl

Kingston, TN 377632686

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.