| Dr Ivan M Larsen, DMD | |
|
1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109-7914 | |
| (573) 298-4400 | |
| Not Available |
| Full Name | Dr Ivan M Larsen |
|---|---|
| Gender | Male |
| Speciality | Dentist - Endodontics |
| Location | 1002 Diamond Rdg Ste 1500, Jefferson City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285185355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-4797 (Idaho) | Secondary |
| 122300000X | Dentist | 2019008323 (Missouri) | Secondary |
| 1223E0200X | Dentist - Endodontics | 2019008323 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ivan M Larsen, DMD 1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109-7914 Ph: (573) 298-4400 | Dr Ivan M Larsen, DMD 1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109-7914 Ph: (573) 298-4400 |
Dr. Nelson Henry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3306 Emerald Ln, Jefferson City, MO 65109 Phone: 573-634-2222 Fax: 573-634-8812 | |
Talva Grundstrom, D,M,D, Dentist Medicare: Medicare Enrolled Practice Location: 2022 Williams St, Jefferson City, MO 65109 Phone: 573-634-4414 Fax: 573-634-8385 | |
Dr. Brian Leroy Henningsen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1600 B Southwest Blvd, Jefferson City, MO 65109 Phone: 573-635-4852 Fax: 573-635-1167 | |
Dr. Roger Dean Nail, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 917 Leslie Blvd, Ste C, Jefferson City, MO 65101 Phone: 573-634-2400 Fax: 573-761-7528 | |
Dr. Justin Lee Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3551 Amazonas Dr, Jefferson City, MO 65109 Phone: 573-634-2400 | |
Dr. Bart James Carney, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 207 Metro Dr, Jefferson City, MO 65109 Phone: 573-634-3316 Fax: 573-636-5050 | |
Dr. Tyler W Slaughter, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 3237 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-635-2571 |