OrganizationActiveAccepts Medicare
Larson Dental LLC
NPI 1922726280 · Dentist · Minneapolis, MN
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1922726280
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Cory Larson, Owner(612) 789-2853
Specialties & taxonomies
Dental Providers
- Customized Equipment (DME)332BC3200X
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1632 Washington St Ne
Minneapolis, MN 55413-1336
Phone: (612) 789-2853
Street-level locationGet directions
Mailing address
1632 Washington St Ne
Minneapolis, MN 55413-1336
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.