| Dr Michael Andrew Larsen, DDS | |
|
1361 E 16th St, Burley, ID 83318-2008 | |
| (208) 677-5198 | |
| (208) 678-2245 |
| Full Name | Dr Michael Andrew Larsen |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1361 E 16th St, Burley, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376570242 | NPI | - | NPPES |
| 5050232 | Medicaid | WA | |
| 807518200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE10258 (Washington) | Secondary |
| 1223G0001X | Dentist - General Practice | D-3993 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Andrew Larsen, DDS 794 Eastland Dr, Twin Falls, ID 83301-6856 Ph: (208) 734-3312 | Dr Michael Andrew Larsen, DDS 1361 E 16th St, Burley, ID 83318-2008 Ph: (208) 677-5198 |
Dr. Michael Bryson Stucki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1706 Overland Ave, Burley, ID 83318 Phone: 208-678-2332 | |
Dr. Kevin D. Banner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1010 E Main St, Burley, ID 83318 Phone: 208-678-5597 Fax: 208-678-5663 | |
Randal Todd Wilson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1309 Bennett Ave, Burley, ID 83318 Phone: 208-677-5198 | |
Dr. Steve Paul Garn, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2200 Park Ave, Suite 2, Burley, ID 83318 Phone: 208-678-8188 Fax: 208-678-3170 | |
Wayne Jack Wright, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2200 Park Ave, Burley, ID 83318 Phone: 208-678-1478 | |
Logan Kay, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1309 Bennett Ave, Burley, ID 83318 Phone: 208-732-7447 | |
Dr. Justin Ward, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2271 Overland Ave, Suite 4, Burley, ID 83318 Phone: 208-678-3265 |