Gary A. Larsen, Dds, Inc. in Clovis - Dentist

Gary A. Larsen, Dds, Inc. - NPI 1720015068

Gary A. Larsen, Dds, Inc. is a Dentist in Clovis, California. Gary A. Larsen, Dds, Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary A. Larsen, Dds, Inc. is 1720015068. The last update date is 2014-01-07.

Gary A. Larsen, Dds, Inc.'s current location address is 2812 Morris Ave, Clovis, California. You can contact this provider via phone number 5593229679 and fax number 5592266062. The mailing address for Gary A. Larsen, Dds, Inc. is 2812 Morris Ave, Clovis, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gary A. Larsen, Dds, Inc.
Address 2812 Morris Ave, Clovis, California
Phone Number 5593229679
Fax Number 5592266062
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/DENT
Authorized Official Name Larsen Allyn Gary
Credentials D.D.S.
Telephone Number 5592266060

NPI Number Detail

NPI Number 1720015068
Provider Enumeration Date 2006-06-26
Last Updated Date 2014-01-07

Provider Mailing Address Detail

Address 2812 Morris Ave
City Clovis
State California (CA)
Post Code 936113437
Phone Number 5593229679
Fax Number 5592266062

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 41749
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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FAQs about Gary A. Larsen, Dds, Inc.

What is the unique provider identifier assigned to Gary A. Larsen, Dds, Inc.?

The Gary A. Larsen, Dds, Inc. has been issued the NPI (National Provider Identifier) 1720015068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gary A. Larsen, Dds, Inc.'s facilities are geographically located?

The facilities of Gary A. Larsen, Dds, Inc. are physically situated at the following location: 2812 Morris Ave, Clovis, CA, 936113437.

What is Gary A. Larsen, Dds, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Gary A. Larsen, Dds, Inc.'s area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

When did the Gary A. Larsen, Dds, Inc. receive its 1720015068?

The Gary A. Larsen, Dds, Inc. was issued its 1720015068 on 2006-06-26, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Gary A. Larsen, Dds, Inc. most recently updated or revised?

The information pertaining to Gary A. Larsen, Dds, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2014-01-07.

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