Dr Ethan James Larson, DMD MS - Dentist in Puyallup, WA

Dr Ethan James Larson, DMD MS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Puyallup, Washington. Dr Ethan James Larson is licensed to practice in Washington (license number DE60199084) and his current practice location is 210 4th Ave Sw, Puyallup, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 848-4537.

NPI number for Dr Ethan James Larson is 1083975759 and his current mailing address is 210 4th Ave Sw, Puyallup, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083975759.

Contact Information

Dr Ethan James Larson, DMD MS
210 4th Ave Sw,
Puyallup, WA 98371-5863
(253) 848-4537
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Ethan James Larson
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location210 4th Ave Sw, Puyallup, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083975759
  • Provider Enumeration Date: 05/30/2012
  • Last Update Date: 05/30/2012

Medical Identifiers

Medical identifiers for Dr Ethan James Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083975759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics DE60199084 (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. Dr Ethan James Larson 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 AddressPractice Location Address
Dr Ethan James Larson, DMD MS
210 4th Ave Sw,
Puyallup, WA 98371-5863

Ph: (253) 848-4537
Dr Ethan James Larson, DMD MS
210 4th Ave Sw,
Puyallup, WA 98371-5863

Ph: (253) 848-4537

Reviews and Comments


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