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

Larsen, Dds-Blanchard, DMD, Ps

Organization Dentist · NPI 1619073061

Larsen, Dds-Blanchard, DMD, Ps is a Dentist in Montesano, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

208 E Broadway Ave
Montesano, WA 98563-3706
Phone: (360) 249-3151
Fax: (360) 249-5129
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE00008166 (WA)
Dentist Taxonomy 122300000X · Licence DE00007407 (WA)

Record details

NPI number1619073061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Larsen — Co-Owner · (360) 249-3151
Other names Broadway Dental Center
NPI enumeratedSeptember 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address208 E Broadway Ave, Montesano, WA 98563-3706

Other providers in Montesano