Ethan Larson, D.M.D. M.S.
NPI 1083975759 · Orthodontics and Dentofacial Orthopedics Dentistry · Gilbert, AZ
Ethan Larson, D.M.D. M.S. is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Gilbert, AZ (NPI 1083975759).
Provider details
- NPI number
- 1083975759
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D. M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D011332 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-30
- Last updated
- 2024-11-15
- Certified
- 2024-11-09
Frequently asked questions
- What is Ethan Larson's NPI number?
- Ethan Larson's National Provider Identifier (NPI) is 1083975759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Larson's specialty?
- Ethan Larson is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Ethan Larson located?
- Ethan Larson's practice location on file with NPPES is 4365 E Pecos Rd Ste 136, Gilbert, AZ 85295-8053.
- What is Ethan Larson's phone number?
- The practice phone number listed in the NPPES registry for Ethan Larson is (480) 712-9595.
- Is Ethan Larson's NPI active?
- Yes — Ethan Larson's NPI (1083975759) is active in the NPPES registry as of the last update on 2024-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.