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

Niels Willard Larsen V, DDS

Individual provider General Practice Dentistry · NPI 1770796070

Niels Willard Larsen V, DDS is a General Practice Dentistry in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
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

950 Hospital Way Ste B
Pocatello, ID 83201-2789
Phone: (208) 233-7007
Fax: (208) 233-2512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-1599 (ID)

Record details

NPI number1770796070
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 7, 2007
Last updated in NPPESJuly 8, 2007

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