Vernon A. Larsen D.D.S., S.C. in Menasha - General Practice

Vernon A. Larsen D.D.S., S.C. - NPI 1396768669

Vernon A. Larsen D.D.S., S.C. is a General Practice in Menasha, Wisconsin. Vernon A. Larsen D.D.S., S.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vernon A. Larsen D.D.S., S.C. is 1396768669. The last update date is 2020-08-22.

Vernon A. Larsen D.D.S., S.C.'s current location address is 59 Racine St, Menasha, Wisconsin. You can contact this provider via phone number 9207224293 and fax number 9207223394. The mailing address for Vernon A. Larsen D.D.S., S.C. is 59 Racine St, Menasha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vernon A. Larsen D.D.S., S.C.
Address 59 Racine St, Menasha, Wisconsin
Phone Number 9207224293
Fax Number 9207223394
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Larsen A Vernon
Credentials D.D.S.
Telephone Number 9207224293

NPI Number Detail

NPI Number 1396768669
Provider Enumeration Date 2006-07-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 59 Racine St
City Menasha
State Wisconsin (WI)
Post Code 549523133
Phone Number 9207224293
Fax Number 9207223394

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4001803
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33600000 WI --

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FAQs about Vernon A. Larsen D.D.S., S.C.

What is the Vernon A. Larsen D.D.S., S.C.'s unique identification number?

The Vernon A. Larsen D.D.S., S.C. has been assigned the NPI (National Provider Identifier) Number 1396768669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Vernon A. Larsen D.D.S., S.C. is physically located?

The Vernon A. Larsen D.D.S., S.C. is physically situated at the following address: 59 Racine St, Menasha, WI, 549523133.

What is Vernon A. Larsen D.D.S., S.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Vernon A. Larsen D.D.S., S.C. is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Vernon A. Larsen D.D.S., S.C. receive the assignment of its 1396768669 from the Centers for Medicare & Medicaid Services?

The Vernon A. Larsen D.D.S., S.C. was issued its 1396768669 by the Centers for Medicare & Medicaid Services on 2006-07-26.

When was the information pertaining to Vernon A. Larsen D.D.S., S.C. most recently updated or revised?

The details related to Vernon A. Larsen D.D.S., S.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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