Larson, Nathan

Larson, Nathan is an sole proprietor health care provider with primary practice located at 1717 E Queen Creek Rd , Gilbert AZ 85298. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / General Practice. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Larson, Nathan can be contacted via phone (623) 400-3234.

Contact Information

Primary practice address
1717 E Queen Creek Rd Gilbert AZ 85298
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D011458 Arizona
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D011458 Arizona
Dental Providers / General Practice 1223G0001X 8362005-9921 Utah

Profile Details

NPI number 1760757371
LBN Legal business name Larson, Nathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2012
Last updated May 8th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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