IndividualActive
Peter Larsen, DDS
NPI 1205912300 · Oral & Maxillofacial Surgery (D.M.D.) · Columbus, OH
Provider details
- NPI number
- 1205912300
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 18614 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
305 W 12th Ave
Columbus, OH 43210-1267
Phone: (614) 292-5144
Fax: (614) 292-9472
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 182357
Columbus, OH 43218-2357
Additional practice locations (1)
- 700 Childrens DrColumbus, OH 43205-2664Phone: (614) 722-5651Fax: (614) 355-4497
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2019-12-18
- Certified
- 2019-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.