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

Dr. Susan Michelle Larsen, DDS

Individual provider Dentist · NPI 1114010188

Dr. Susan Michelle Larsen, DDS is a Dentist in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1245 E Southern Ave Ste 12
Mesa, AZ 85204-5137
Phone: (480) 610-6544
Fax: (480) 633-0670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D5678 (AZ)

Record details

NPI number1114010188
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 9, 2007

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