Dr. Susan Michelle Larsen is a Mesa, Arizona based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Susan Michelle Larsen is
D5678 for Dentistry in Arizona. Her current practice location is
1245 E Southern Ave, Ste 12, Mesa. Patients can reach her at
480-610-6544.
Dr. Susan Michelle Larsen is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Susan Michelle Larsen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Susan Michelle Larsen |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1245 E Southern Ave, Ste 12, Mesa, Arizona, 85204-5137 |
| Phone: | 480-610-6544 |
| Fax: | 480-633-0670 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1114010188 |
| NPI Enumeration Date: | 02 Oct, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan Michelle Larsen are as mentioned below.
| License Number | Specialization | State | Status | |
| D5678 | Dentistry | Arizona | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Susan Michelle Larsen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 703323 | Medicaid | Arizona | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1245 E Southern Ave, Ste 12 Mesa, Arizona |
| Zip: | 85204-5137 |
| Phone Number: | 480-610-6544 |
| Fax Number: | 480-633-0670 |
Patients can reach Dr. Susan Michelle Larsen at
1245 E Southern Ave, Ste 12, Mesa, Arizona or can
call to book an appointment on 480-610-6544.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.