# LARSON AND ROELOFS FAMILY DENTISTRY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003934464
- **Authorized official:** DR. DAVID J LARSON DDS (PRESIDENT)
- **Authorized official phone:** (804) 323-3944

## Contact information

- **Practice address:** 9327 MIDLOTHIAN TURNPIKE, SUITE 1A, RICHMOND, VA 23235-4965
- **Practice address phone:** (804) 323-3944
- **Practice address fax:** (804) 323-6007
- **Mailing address:** 9327 MIDLOTHIAN TURNPIKE, SUITE 1A, RICHMOND, VA 23235-4965
- **Mailing address phone:** (804) 323-3944
- **Mailing address fax:** (804) 323-6007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006445 | VA | Yes |
| 122300000X | Dentist | 0401006446 | VA | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020