STEPHEN M LARSON D.M.D. NPI 1003838459

NPI Information

NPI: 1003838459
Provider Name: STEPHEN M LARSON, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
6411 FANNIN ST
HOUSTON, TX
ZIP 77030
Phone: (713) 500-6200
Get Directions

Stephen M Larson, D.M.D. is a general practice dentist in Houston, TX. The provider is 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. Stephen M Larson, D.M.D. NPI is 1003838459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6411 FANNIN ST
HOUSTON, TX
ZIP 77030-501
Phone: (713) 500-6200
Fax: (713) 500-6201

The enumeration date for this NPI number is 7/24/2006 and was last updated on 8/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		11353	TEXAS	No
2	1223G0001X	Dentist	General Practice	11353	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8X6137	OTHER	TEXAS	BCBS
2	190008607	MEDICARE PIN	TEXAS
3	8K6917	MEDICARE PIN	TEXAS
4	102216202	MEDICAID	TEXAS
5	84214F	MEDICARE PIN	TEXAS
6	84214F	OTHER	TEXAS	BCBS
7	U11063	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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