Larry C Eddy is a Dentist in Rogers, Arkansas. Larry C Eddy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry C Eddy is 1689860181. The last update date is 2007-09-18.
Larry C Eddy's current location address is 2301 W Walnut St, Rogers, Arkansas. You can contact this provider via phone number 4796330111 and fax number 4796330156. The mailing address for Larry C Eddy is 2301 W Walnut St, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry C Eddy |
|---|---|
| Address | 2301 W Walnut St, Rogers, Arkansas |
| Phone Number | 4796330111 |
| Fax Number | 4796330156 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689860181 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 2301 W Walnut St |
|---|---|
| City | Rogers |
| State | Arkansas (AR) |
| Post Code | 727563586 |
| Phone Number | 4796330111 |
| Fax Number | 4796330156 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3039 |
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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 |
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What is the unique 10-digit identifier code issued to Larry C Eddy by the Centers for Medicare & Medicaid Services?
The Larry C Eddy has been assigned the NPI (National Provider Identifier) 1689860181 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Larry C Eddy?
The Larry C Eddy is physically situated at 2301 W Walnut St, in the city of Rogers, state of AR, with the postal code 727563586.
What is Larry C Eddy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry C Eddy's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When was the Larry C Eddy's 1689860181 issued?
The Larry C Eddy's 1689860181 was issued on 2007-09-18.
As of what date were the details related to Larry C Eddy most recently updated or revised?
The information pertaining to Larry C Eddy, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-18.
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