W.BRENT LARSEN D.D.S. P.A. NPI 1053591495

NPI Information

  • NPI: 1053591495
  • Provider Name: W.BRENT LARSEN, D.D.S., P.A.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 3 TEMPLETON DR
    CABOT, AR
    ZIP 72023
  • Phone: (501) 843-9306

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NPI Details

W.BRENT LARSEN, D.D.S., P.A. is a dental clinic center in Cabot, AR. W.BRENT LARSEN, D.D.S., P.A. NPI is 1053591495. The provider is registered as an organization entity type.

The provider's business location address is:

3 TEMPLETON DR
CABOT, AR
ZIP 72023-821
Phone: (501) 843-9306
Fax: (501) 843-4251

The provider's authorized official is W. Brent Larsen .
The authorized official title is Owner and has the following contact phone number (501) 843-9306.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 11/13/2007.

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
1261QD0000XClinic/CenterDental2976ARKANSASYes

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: 11/21/2025

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