DR. MARC LARSON


Address: 34880 Yucaipa Blvd, Yucaipa, CA 92399-4235
Phone: 9097971136

DR. MARC LARSON (NPI# 1356437354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356437354
Entity Type Individual
Full Name DR. MARC LARSON
Credential DDS
Practice Address 34880 Yucaipa Blvd
Yucaipa
CA 92399-4235
Mailing Address 2860 Michelle
2nd Floor
Irvine
CA 92606-1009
Practice Telephone 9097971136
Practice Fax Number 9097979866
Mailing Telephone 7145083600
Mailing Fax Number 7143682092
Enumeration Date 2006-10-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
47275 CA Dental Providers

Other Providers MARC LARSON

NPI Name Taxonomy Address Enumeration
1093939761 Marc Shaw Larson Physical Therapist 1030 Medical Dr, Ste B, Brigham City, UT 84302-3119 2007-04-12

Office Location

Street Address 34880 YUCAIPA BLVD
City YUCAIPA
State CA
Zip Code 92399-4235

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275635385 Sudhakar R Chokka Dentist 34880 Yucaipa Blvd, Yucaipa, CA 92399-4235 2006-09-01
1710465885 Kevin Chung Dentist 34880 Yucaipa Blvd, Yucaipa, CA 92399-4235 2018-08-01
1588049514 Brittany Pang Dentist 34880 Yucaipa Blvd, Yucaipa, CA 92399-4235 2015-07-20
1194077529 Nathaniel Wen-wei Leng Dentist 34880 Yucaipa Blvd, Yucaipa, CA 92399-4235 2012-10-09
1639270234 Chokka Dental Corporation Dentist 34880 Yucaipa Blvd, Yucaipa, CA 92399-4235 2006-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891301941 Emily Ambrosi Occupational Therapist 12257 Tulip Ln, Yucaipa, CA 92399 2020-09-23
1952943524 Terrence Williams Behavioral Analyst 13768 Meadow View Lane, Yucaipa, CA 92399 2019-10-15
1235795097 Han Acu&herbs, Inc Acupuncturist 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 2019-05-16
1366926784 David Gene Satre Psychologist 31752 Dove Ct, Yucaipa, CA 92399 2018-09-21
1336659861 Titianna Little Physical Therapist 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 2017-10-11
1174043467 Sharon Lee Pendola Licensed Vocational Nurse 11885 4th St, Yucaipa, CA 92399 2017-06-27
1073033072 Juniper Manor, LLC Skilled Nursing Facility 35223 Juniper Avenue, Yucaipa, CA 92399 2017-06-21
1952858417 Rafael Arias Non-emergency Medical Transport (VAN) 12386 17th St, Yucaipa, CA 92399 2016-09-01
1578906467 Joyce I Bandele Durable Medical Equipment & Medical Supplies 34664 County Line Rd Suite 14, Yucaipa, CA 92399 2013-04-10
1033475108 Loleta Michelle Gustafson Marriage & Family Therapist 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 2012-04-03
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851890354 Sonja Finnie Dentist 13480 Mesa Crest Dr, Yucaipa, CA 92399-5818 2018-02-09
1497883995 Michael J Fillman Dentist 33699 Yucaipa Blvd, #1-e, Yucaipa, CA 92399-2039 2007-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861091720 Ellen Im Dds Inc Dentist 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 2020-10-21
1104425370 Jack Bayraymyan Dental Group Inc. Dentist 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 2020-10-20
1669071825 Jack Bayraymyan Dental Group Inc. Dentist 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 2020-10-20
1891394060 Jack Bayraymyan Dental Group Inc. Dentist 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 2020-10-20
1790391209 Two Front Corp Dentist 2408 Grandview Ave, Venice, CA 90291-4938 2020-09-21
1396358453 Bridget Powers Dentist 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 2020-08-28
1144832221 Manjeet Samra Dental Corporation Dentist 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 2020-08-19
1154932150 Jacqueline Morgan Payne Dentist 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 2020-08-12
1922617802 Andrew Levin Dentist 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 2020-07-27
1861001885 Robert Berger Dentist 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 2020-07-26
Find all providers with the same taxonomy

Competitor

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City YUCAIPA
Zip Code 92399

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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