Larsen Family Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LARSEN FAMILY DENTISTRY, P.C.

Practice address

3103 W Big Trail Dr
Jackson, WY 83001-9296

Phone

(307) 733-4778

Fax

(307) 734-8041

NPI assigned

Dec 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Coburn Larsen, DMDNPI 1346343373

Title

Dentist

Phone

(307) 733-4778

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Coburn Larsen, DMD

  • Dentist
  • Jackson, WY
  • NPI 1346343373
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1205010287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4935",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014935",
            "telephone_number": "307-733-4778",
            "fax_number": "307-734-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 W BIG TRAIL DR",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019296",
            "telephone_number": "307-733-4778",
            "fax_number": "307-734-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSEN FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "COBURN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-733-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118068100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Voz
• Wendy Elaine Laakmann, PH.D.
• Monique Vivette Lai, ND
• Elizabeth A Lancione, RDN, LD, CNSC
• Robert D. Langer, M.D., M.P.H.
• Scott Coburn Larsen, DMD
• Lisa E Larson Hoyt, APRN-BC
• Jamie R Lasden
• Laura Simmons PT LLC
• Hillary Lavino, PCSW

• General Practice Dentistry in Jackson, WY
• Providers in Jackson, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.