Bradley Larsen, DDS is a
Dentist - General Practice based in Morton, Washington. Bradley Larsen is licensed to practice in Washington (license number DE00005129) and his current practice location is
148 Division Ave, Morton, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 496-5101.
NPI number for Bradley Larsen is 1760404164 and his current mailing address is 2114 Main St Ste 100-140, Vancouver, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760404164.
Healthcare Provider's Profile
| Full Name | Bradley Larsen |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 148 Division Ave, Morton, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760404164
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 02/07/2023
Medical Identifiers
Medical identifiers for Bradley Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760404164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DE00005129 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bradley Larsen, DDS
2114 Main St Ste 100-140,
Vancouver, WA 98660-2674
Ph: Not Available | Bradley Larsen, DDS
148 Division Ave,
Morton, WA 98356-9300
Ph: (360) 496-5101 |
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