Scott Coburn Larsen in Jackson - Dentist
Scott Coburn Larsen - NPI 1346343373
Scott Coburn Larsen is a Dentist in Jackson, . Scott Coburn Larsen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Scott Coburn Larsen is 1346343373. The last update date is 2007-07-08.
Scott Coburn Larsen's current location address is Po Box 4935, Jackson, . You can contact this provider via phone number 3077334778 and fax number 3077348041. The mailing address for Scott Coburn Larsen is Po Box 4935, Jackson, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Coburn Larsen |
|---|---|
| Address | Po Box 4935, Jackson, |
| Phone Number | 3077334778 |
| Fax Number | 3077348041 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1346343373 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 4935 |
|---|---|
| City | Jackson |
| State | (WY) |
| Post Code | 83001 |
| Phone Number | 3077334778 |
| Fax Number | 3077348041 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1060 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118068100 | WY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Scott Coburn Larsen by the Centers for Medicare & Medicaid Services?
The Scott Coburn Larsen has been issued the NPI (National Provider Identifier) 1346343373 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Scott Coburn Larsen?
The Scott Coburn Larsen is situated at Po Box 4935, in the city of Jackson, state of WY, with the zip code 83001.
What is the Scott Coburn Larsen's specialty and taxonomy code?
The Scott Coburn Larsen's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Scott Coburn Larsen's 1346343373 issued?
The Scott Coburn Larsen's 1346343373 was issued on 2006-09-06.
As of what date was the information pertaining to Scott Coburn Larsen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Scott Coburn Larsen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.