IndividualActive
Stephen Larson, DDS
NPI 1376436444 · General Practice Dentistry · Salt Lake City, UT
Provider details
- NPI number
- 1376436444
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 14223789-9926 (UT)
Specialties & taxonomies
Dental Providers
Practice location
2039 E Michigan Ave
Salt Lake City, UT 84108-1366
Phone: (330) 285-1006
Approximate (ZIP-level) locationGet directions
Mailing address
2039 E Michigan Ave
Salt Lake City, UT 84108-1366
Registry dates
- Enumerated
- 2025-05-29
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.