Bruce Merrill Larsen in Mt Pleasant - Dentist

Bruce Merrill Larsen - NPI 1184839912

Bruce Merrill Larsen is a Dentist in Mt Pleasant, Utah. Bruce Merrill Larsen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce Merrill Larsen is 1184839912. The last update date is 2007-07-08.

Bruce Merrill Larsen's current location address is 240 N State St # 21, Mt Pleasant, Utah. You can contact this provider via phone number 4354622491 and fax number 4354623999. The mailing address for Bruce Merrill Larsen is 240 N State St # 21, Mt Pleasant, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Merrill Larsen
Address 240 N State St # 21, Mt Pleasant, Utah
Phone Number 4354622491
Fax Number 4354623999
Sole Proprietor Y
Credentials DDS PC

NPI Number Detail

NPI Number 1184839912
Provider Enumeration Date 2007-05-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 240 N State St # 21
City Mt Pleasant
State Utah (UT)
Post Code 846471107
Phone Number 4354622491
Fax Number 4354623999

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 20-2063480
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 Bruce Merrill Larsen

What is the unique identifier code issued to Bruce Merrill Larsen by the Centers for Medicare & Medicaid Services (CMS)?

The Bruce Merrill Larsen has been assigned the NPI (National Provider Identifier) 1184839912. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Bruce Merrill Larsen is physically located?

The Bruce Merrill Larsen is situated at the following address: 240 N State St # 21, Mt Pleasant, UT 846471107.

What is Bruce Merrill Larsen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bruce Merrill Larsen is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184839912 to Bruce Merrill Larsen?

The Centers for Medicare & Medicaid Services originally issued the 1184839912 to Bruce Merrill Larsen on 2007-05-14.

As of what date were the details related to Bruce Merrill Larsen most recently updated or revised?

The information pertaining to Bruce Merrill Larsen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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