Gregg Stuart Larson in St Cloud - Pediatric Dentistry
Gregg Stuart Larson - NPI 1780625772
Gregg Stuart Larson is a Pediatric Dentistry in St Cloud, Minnesota. Gregg Stuart Larson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gregg Stuart Larson is 1780625772. The last update date is 2014-10-02.
Gregg Stuart Larson's current location address is 1900 Centracare Circle, St Cloud, Minnesota. You can contact this provider via phone number 3202530272 and fax number 3202512661. The mailing address for Gregg Stuart Larson is 1900 Centracare Circle, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg Stuart Larson |
|---|---|
| Address | 1900 Centracare Circle, St Cloud, Minnesota |
| Phone Number | 3202530272 |
| Fax Number | 3202512661 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1780625772 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2014-10-02 |
Provider Mailing Address Detail
| Address | 1900 Centracare Circle |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563035000 |
| Phone Number | 3202530272 |
| Fax Number | 3202512661 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 11344 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 286909800 | MN | -- | |
| 294L9LA | MN | BLUE CROSS BLUE SHIELD | |
| HP37202 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gregg Stuart Larson by the Centers for Medicare & Medicaid Services?
The Gregg Stuart Larson has been issued the NPI (National Provider Identifier) 1780625772, which 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 Gregg Stuart Larson's facilities are geographically located?
The facilities of Gregg Stuart Larson are physically situated at the following location: 1900 Centracare Circle, St Cloud, MN, 563035000.
What is Gregg Stuart Larson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregg Stuart Larson is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did Gregg Stuart Larson receive its 1780625772 assignment from the Centers for Medicare & Medicaid Services?
The Gregg Stuart Larson was assigned its 1780625772 on 2006-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Gregg Stuart Larson most recently updated or revised?
The details related to Gregg Stuart Larson, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-02.