C. Michael Larsen in Southlake - Endodontics
C. Michael Larsen - NPI 1568641413
C. Michael Larsen is a Endodontics in Southlake, Texas. C. Michael Larsen practices all healthcare services and medical treatments related to Endodontics. The NPI Number for C. Michael Larsen is 1568641413. The last update date is 2009-12-28.
C. Michael Larsen's current location address is 1100 E Southlake Blvd, Southlake, Texas. You can contact this provider via phone number 8174883636 and fax number 8174212372. The mailing address for C. Michael Larsen is 1100 E Southlake Blvd, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C. Michael Larsen |
|---|---|
| Address | 1100 E Southlake Blvd, Southlake, Texas |
| Phone Number | 8174883636 |
| Fax Number | 8174212372 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1568641413 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2009-12-28 |
Provider Mailing Address Detail
| Address | 1100 E Southlake Blvd |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760926357 |
| Phone Number | 8174883636 |
| Fax Number | 8174212372 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 21856 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code issued to C. Michael Larsen by the Centers for Medicare & Medicaid Services?
The C. Michael Larsen has been assigned the NPI (National Provider Identifier) 1568641413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of C. Michael Larsen?
The C. Michael Larsen is situated at 1100 E Southlake Blvd, in the city of Southlake, state of TX, with the zip code 760926357.
What is C. Michael Larsen's area of expertise and its corresponding taxonomy classification?
The C. Michael Larsen's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the C. Michael Larsen receive its 1568641413 assignment from the Centers for Medicare & Medicaid Services?
The C. Michael Larsen was assigned its 1568641413 by the Centers for Medicare & Medicaid Services on 2007-10-29.
When was the information regarding C. Michael Larsen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to C. Michael Larsen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-12-28.
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