NPI age
17 years
Enumerated 2008-12-15
● Active Type 2 · Organization
Larsen Dental Care
Larsen Dental Care is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Larsen
Dentist Owner
Last NPPES update
2008-12-15
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-12Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
950 Hospital Way, Suite B
Pocatello, ID 832012789
Mailing address
950 Hospital Way, Suite B
Pocatello, ID 832012789
Authorized official
Bryce R Larsen, D.M.D.
Dentist Owner
📞 2082337007
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Jenna Castillo, PA-C Physician Assistant NPI 1326651035
- Gregory Ford, MD Orthopaedic Surgery NPI 1104928670
- Bryce Larsen, D.M.D. Dentist NPI 1821210535
- Niels Larsen, D.D.S. Dentist NPI 1770796070
- Tanner Mitton, PA-C Physician Assistant NPI 1144601865
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8072105 |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1099 Dentist providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.