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

Dr. Robert Gardner Larson, DDSMSD

Individual provider Dentist · NPI 1710171483

Dr. Robert Gardner Larson, DDSMSD is a Dentist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

6070 N Keystone Ave
Indianapolis, IN 46220-2585
Phone: (317) 253-6784
Fax: (317) 803-9917
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Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 8110 (IN)
Dentist Taxonomy 122300000X · Licence 8110 (IN)

Record details

NPI number1710171483
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMSD
Sole proprietorYes
NPI enumeratedSeptember 5, 2007
Last updated in NPPESSeptember 5, 2007
Mailing address6070 N Keystone Ave, Indianapolis, IN 46220-2585

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