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

Dr. Ivan M Larsen, DMD

Individual provider Dentist · NPI 1285185355

Dr. Ivan M Larsen, DMD is a Dentist in Jefferson City, Missouri. Works from 2 locations. Licensed in Idaho and Missouri.

Licensed in
ID, MO
In the registry since
2016
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1002 Diamond Rdg Ste 1500
Jefferson City, MO 65109-7914
Phone: (573) 298-4400
Show map & directions

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

Additional practice locations (1)

  • 1311 E Central Dr, Meridian, ID 83642-7991 — (208) 373-1860

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 2019008323 (MO)
Dentist Taxonomy 122300000X · Licence D-4797 (ID)
Dentist Taxonomy 122300000X · Licence 2019008323 (MO)

Record details

NPI number1285185355
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 24, 2016
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109-7914

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