Larry Mike Bloodsworth in Tyler - Dentist
Larry Mike Bloodsworth - NPI 1013025121
Larry Mike Bloodsworth is a Dentist in Tyler, Texas. Larry Mike Bloodsworth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry Mike Bloodsworth is 1013025121. The last update date is 2007-07-08.
Larry Mike Bloodsworth's current location address is 1001 Magnolia Drive, Tyler, Texas. You can contact this provider via phone number 9035952707. The mailing address for Larry Mike Bloodsworth is 1001 Magnolia Drive, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Mike Bloodsworth |
|---|---|
| Address | 1001 Magnolia Drive, Tyler, Texas |
| Phone Number | 9035952707 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1013025121 |
|---|---|
| Provider Enumeration Date | 2006-08-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1001 Magnolia Drive |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75701 |
| Phone Number | 9035952707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 11305 |
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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 identification code issued to Larry Mike Bloodsworth by the Centers for Medicare & Medicaid Services?
The Larry Mike Bloodsworth has been assigned the NPI (National Provider Identifier) 1013025121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Larry Mike Bloodsworth's facilities are geographically located?
The facilities of Larry Mike Bloodsworth are physically situated at the following location: 1001 Magnolia Drive, Tyler, TX, 75701.
What is Larry Mike Bloodsworth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Mike Bloodsworth is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013025121 to Larry Mike Bloodsworth?
The Larry Mike Bloodsworth received its 1013025121 assignment from the Centers for Medicare & Medicaid Services on 2006-08-28.
When was the information regarding Larry Mike Bloodsworth most recently updated?
The details pertaining to the Larry Mike Bloodsworth, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY