Harry J Larson, BS DDS
Individual provider Active NPI Dentist · Albany, MN
NPI 1003965047 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003965047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8354 (MN)
- Practice address
- 150 4TH Street
Albany, MN 56307 - Phone
- (320) 845-2139
- Fax
- (320) 845-4130
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8354 | MN | Yes |
Addresses
Primary practice location
150 4TH Street
Albany, MN 56307
Mailing address
PO Box 478
Albany, MN 56307
Phone (320) 845-2139
Other providers in Albany, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.