Jeffrey D Larson in Caldwell - General Practice
Jeffrey D Larson - NPI 1164435855
Jeffrey D Larson is a General Practice in Caldwell, Idaho. Jeffrey D Larson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey D Larson is 1164435855. The last update date is 2007-07-08.
Jeffrey D Larson's current location address is 1211 S Kimball Ave, Caldwell, Idaho. You can contact this provider via phone number 2084542061 and fax number 2084596899. The mailing address for Jeffrey D Larson is 1211 S Kimball Ave, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey D Larson |
|---|---|
| Address | 1211 S Kimball Ave, Caldwell, Idaho |
| Phone Number | 2084542061 |
| Fax Number | 2084596899 |
| Sole Proprietor | Y |
| Credentials | D.M.D., P. |
NPI Number Detail
| NPI Number | 1164435855 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1211 S Kimball Ave |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836054626 |
| Phone Number | 2084542061 |
| Fax Number | 2084596899 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3638 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey D Larson?
The Jeffrey D Larson has been issued the NPI (National Provider Identifier) 1164435855 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jeffrey D Larson is geographically located?
The Jeffrey D Larson is physically situated at the following location: 1211 S Kimball Ave, Caldwell, ID, 836054626.
What is the area of specialization for Jeffrey D Larson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey D Larson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Jeffrey D Larson receive the assignment of its 1164435855 from the Centers for Medicare & Medicaid Services?
The Jeffrey D Larson was issued its 1164435855 by the Centers for Medicare & Medicaid Services on 2006-08-14.
As of what date were the Jeffrey D Larson's details last updated?
The information pertaining to the Jeffrey D Larson, including its address, specialty, and other details, was most recently updated on 2007-07-08.