Cory John Larson in Minneapolis - General Practice
Cory John Larson - NPI 1487762548
Cory John Larson is a General Practice in Minneapolis, Minnesota. Cory John Larson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Cory John Larson is 1487762548. The last update date is 2007-07-08.
Cory John Larson's current location address is 1632 Washington St Ne, Minneapolis, Minnesota. You can contact this provider via phone number 6127892853 and fax number 6127892853. The mailing address for Cory John Larson is 1632 Washington St Ne, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cory John Larson |
|---|---|
| Address | 1632 Washington St Ne, Minneapolis, Minnesota |
| Phone Number | 6127892853 |
| Fax Number | 6127892853 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1487762548 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1632 Washington St Ne |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554131336 |
| Phone Number | 6127892853 |
| Fax Number | 6127892853 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12212 |
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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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What is the unique identification code assigned to Cory John Larson by the Centers for Medicare & Medicaid Services?
The Cory John Larson has been issued the NPI (National Provider Identifier) 1487762548. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Cory John Larson's facilities are geographically located?
The facilities of Cory John Larson are physically situated at the following location: 1632 Washington St Ne, Minneapolis, MN, 554131336.
What is Cory John Larson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Cory John Larson is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did Cory John Larson receive its 1487762548 assignment from the Centers for Medicare & Medicaid Services?
The Cory John Larson was assigned its 1487762548 on 2006-08-29, 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 Cory John Larson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Cory John Larson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.