OrganizationActive
Larsen, Dds-Blanchard, DMD, Ps
NPI 1619073061 · Dentist · Montesano, WA
Larsen, Dds-Blanchard, DMD, Ps is a Dentist organization in Montesano, WA (NPI 1619073061).
Provider details
- NPI number
- 1619073061
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Russell Larsen, Co-Owner(360) 249-3151
- License
- DE00007407 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
208 E Broadway Ave
Montesano, WA 98563-3706
Phone: (360) 249-3151
Fax: (360) 249-5129
Street-level locationGet directions
Mailing address
208 E Broadway Ave
Montesano, WA 98563-3706
Other names (DBA / former)
- Doing business as
- Broadway Dental Center
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Larsen, Dds-Blanchard, DMD, Ps's NPI number?
- Larsen, Dds-Blanchard, DMD, Ps's National Provider Identifier (NPI) is 1619073061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Larsen, Dds-Blanchard, DMD, Ps?
- Larsen, Dds-Blanchard, DMD, Ps is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Larsen, Dds-Blanchard, DMD, Ps located?
- Larsen, Dds-Blanchard, DMD, Ps's practice location on file with NPPES is 208 E Broadway Ave, Montesano, WA 98563-3706.
- What is Larsen, Dds-Blanchard, DMD, Ps's phone number?
- The practice phone number listed in the NPPES registry for Larsen, Dds-Blanchard, DMD, Ps is (360) 249-3151.
- Who is the authorized official for Larsen, Dds-Blanchard, DMD, Ps?
- The authorized official listed on Larsen, Dds-Blanchard, DMD, Ps's NPPES record is Russell Larsen, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Larsen, Dds-Blanchard, DMD, Ps's NPI active?
- Yes — Larsen, Dds-Blanchard, DMD, Ps's NPI (1619073061) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.