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Active NPI 1760404164 Individual Practitioner Male Practitioner

Dr. Bradley Larsen , DDS

Dentist - General Practice • Morton, WA

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Larsen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Morton, WA. Practice services are available at 148 DIVISION AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

148 Division Ave

Morton, WA 983569300

Telephone 3604965101
Fax 3604964123
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Morton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Morton, WA (3345 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: 2023-02-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00005129

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

2 Associated Practitioners
Dr. Cheri Beitia , DDS

Dentist - General Practice

NPI 1407847072

Doctor of Dental Surgery

Hailey Stevens , RDH

Dental Hygienist

NPI 1730688573

Registered Dental Hygienist

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 07, 2023

Registered at 148 DIVISION AVE, MORTON, WA 983569300 (Tel: 3604965101)

📍
Updated Business Mailing Address February 07, 2023

Registered at 2114 MAIN ST STE 100-140, VANCOUVER, WA 986602674

📍
Updated Practice Location June 07, 2018

Registered at 2690 NE KRESKY AVE, CHEHALIS, WA 98532 (Tel: 3603309595)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2018

Dentist (License #DE00005129 in WA)

NPI Profile Active November 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2011

Registered at 102 A WESTLAKE AVE., MORTON, WA 98356 (Tel: 3604965101)

📍
Updated Business Mailing Address November 19, 2011

Registered at 2920 LYNN PL, LONGVIEW, WA 986325462

👤
Provider Name / Credentials Updated November 19, 2011

Recorded as BRADLEY LARSEN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2011

Dentist (License #91-2088392 in WA)

🟢
Initial NPI Registration & Enumeration July 24, 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: 1760404164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: February 07, 2023
Sole Proprietor: No

Mailing Address

2114 Main St Ste 100-140

Vancouver, WA 986602674

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.