BRADLEY LARSEN (D.D.S.) – General Practice Dentistry, NPI 1760404164

BRADLEY LARSEN (D.D.S.) is a healthcare provider. based in Chehalis, Washington. specializing in General Practice Dentistry. They hold the professional credentials D.D.S.. They hold a License No. DE00005129 (WA). The NPI Number for BRADLEY LARSEN (D.D.S.) is 1760404164

Main info

Male
Name
BRADLEY LARSEN (D.D.S.)
NPI
1760404164
Phone
(360) 330-9595
Address
2690 NE KRESKY AVE
Enumeration Date
24 July 2006
Last Update Date
7 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for BRADLEY LARSEN (D.D.S.)

  • 2690, Northeast Kresky Avenue, Chehalis, Lewis County, Washington, 98532, United States

    CHEHALIS, WA 98532

    Phone: (360) 330-9595

    Fax: (360) 330-9560

    Type: Location

  • 148 DIVISION AVE

    MORTON, WA 983569300

    Phone: (360) 496-5101

    Fax: (360) 496-4123

    Type: Location

  • 2114 MAIN ST STE 100-140

    VANCOUVER, WA 986602674

    Phone:

    Type: Mailing

  • 2920, Lynn Place, Longview, Cowlitz County, Washington, 98632, United States

    LONGVIEW, WA 986325462

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98532)

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Frequently asked questions

What is the 10-digit NPI for BRADLEY LARSEN (D.D.S.)?
BRADLEY LARSEN (D.D.S.) — NPI 1760404164 — is the standard way to identify this listing.
Is BRADLEY LARSEN (D.D.S.) still practicing?
BRADLEY LARSEN (D.D.S.) is currently listed as active in the public NPI registry.
What is BRADLEY LARSEN (D.D.S.)'s specialty?
The listing groups BRADLEY LARSEN (D.D.S.) with General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where is BRADLEY LARSEN (D.D.S.) based?
BRADLEY LARSEN (D.D.S.) is tied to Chehalis, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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