Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Havasu Orthodontics LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1225759111

Lake Havasu Orthodontics LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Lake Havasu City, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2061 Smoketree Ave N
Lake Havasu City, AZ 86403-5811
Phone: (928) 854-4141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1225759111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethan Larson — Doctor/Owner · (253) 283-2747
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address2212 E Aris Dr, Gilbert, AZ 85298-1205

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