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

Mrs. Andrea Kay Larsen, DDS

Individual provider Dentist · NPI 1629362017

Mrs. Andrea Kay Larsen, DDS is a Dentist in Beaver Dam, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
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

210 Madison St
Beaver Dam, WI 53916-2310
Phone: (920) 885-6066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6701-15 (WI)

Record details

NPI number1629362017
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 3, 2011
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022

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