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

Dr. Ethan James Larson, DMDMS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1083975759

Dr. Ethan James Larson, DMDMS is an Orthodontics and Dentofacial Orthopedics Dentistry in Gilbert, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2012

Practice location Address checks out

4365 E Pecos Rd Ste 136
Gilbert, AZ 85295-8053
Phone: (480) 712-9595
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 · Licence D011332 (AZ)

Record details

NPI number1083975759
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMS
Sole proprietorYes
NPI enumeratedMay 30, 2012
Last updated in NPPESNovember 15, 2024
Certification dateNovember 9, 2024
Mailing address4365 E Pecos Rd Ste 136, Gilbert, AZ 85295-8053

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