Clyde S. Larsen is a Dentist in Price, Utah. Clyde S. Larsen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clyde S. Larsen is 1407032113. The last update date is 2008-01-11.
Clyde S. Larsen's current location address is 190 N Carbon Ave, Price, Utah. You can contact this provider via phone number 4356370795. The mailing address for Clyde S. Larsen is 190 N Carbon Ave, Price, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde S. Larsen |
|---|---|
| Address | 190 N Carbon Ave, Price, Utah |
| Phone Number | 4356370795 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407032113 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2008-01-11 |
Provider Mailing Address Detail
| Address | 190 N Carbon Ave |
|---|---|
| City | Price |
| State | Utah (UT) |
| Post Code | 845012474 |
| Phone Number | 4356370795 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 133591 |
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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 assigned to Clyde S. Larsen by the Centers for Medicare & Medicaid Services?
The Clyde S. Larsen has been issued the NPI (National Provider Identifier) 1407032113 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Clyde S. Larsen's facilities are geographically located?
The facilities of Clyde S. Larsen are physically situated at the following location: 190 N Carbon Ave, Price, UT, 845012474.
What is the Clyde S. Larsen's area of specialization and corresponding taxonomy classification?
The Clyde S. Larsen's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Clyde S. Larsen receive its 1407032113 assignment from the Centers for Medicare & Medicaid Services?
The Clyde S. Larsen was assigned its 1407032113 on 2008-01-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clyde S. Larsen most recently updated?
The details pertaining to the Clyde S. Larsen, including its address, specialty, and other relevant information, were last refreshed on 2008-01-11.