Larson, Chad Evans

Larson, Chad Evans is an individual health care provider with primary practice located at 1705 Broadway Ave S Ste A , Rochester MN 55904-7973. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Larson, Chad Evans can be contacted via phone (507) 288-4427.

Contact Information

Primary practice address
1705 Broadway Ave S Ste A Rochester MN 55904-7973
Fax: (507) 288-8497
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 13231 Minnesota

Profile Details

NPI number 1609208826
LBN Legal business name Larson, Chad Evans
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2013
Last updated May 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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