Individual
DR. GREG D LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6235 BLAKENEY PARK DR STE 101, CHARLOTTE, NC 28277-5658
(704) 220-1930
Mailing address
6235 BLAKENEY PARK DR STE 101, CHARLOTTE, NC 28277-5658
(704) 220-1930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12430
NC
Other
Enumeration date
03/26/2007
Last updated
10/13/2025
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