Larry R Ficklin in New Haven - Dentist

Larry R Ficklin - NPI 1962669283

Larry R Ficklin is a Dentist in New Haven, Missouri. Larry R Ficklin practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry R Ficklin is 1962669283. The last update date is 2008-05-22.

Larry R Ficklin's current location address is 104 Miller St, New Haven, Missouri. You can contact this provider via phone number 5732373038 and fax number 5732372987. The mailing address for Larry R Ficklin is 104 Miller St, New Haven, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry R Ficklin
Address 104 Miller St, New Haven, Missouri
Phone Number 5732373038
Fax Number 5732372987
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1962669283
Provider Enumeration Date 2008-05-22
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 104 Miller St
City New Haven
State Missouri (MO)
Post Code 630681143
Phone Number 5732373038
Fax Number 5732372987

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 12855
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 Larry R Ficklin

What is the unique identifier code issued to Larry R Ficklin by the Centers for Medicare & Medicaid Services?

The Larry R Ficklin has been assigned the NPI (National Provider Identifier) 1962669283. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Larry R Ficklin is geographically located?

The Larry R Ficklin is physically situated at the following location: 104 Miller St, New Haven, MO, 630681143.

What is the Larry R Ficklin's area of specialization and corresponding taxonomy classification?

The Larry R Ficklin's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

When did the Larry R Ficklin receive its 1962669283?

The Larry R Ficklin was issued its 1962669283 on 2008-05-22, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Larry R Ficklin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Larry R Ficklin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-22.

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