Bernard John Larson in Mount Vernon - Pediatric Dentistry
Bernard John Larson - NPI 1548354319
Bernard John Larson is a Pediatric Dentistry in Mount Vernon, Washington. Bernard John Larson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bernard John Larson is 1548354319. The last update date is 2013-05-21.
Bernard John Larson's current location address is 2100 E Section St Ste 102, Mount Vernon, Washington. You can contact this provider via phone number 3604283565 and fax number 3604283593. The mailing address for Bernard John Larson is 2100 E Section St Ste 102, Mount Vernon, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernard John Larson |
|---|---|
| Address | 2100 E Section St Ste 102, Mount Vernon, Washington |
| Phone Number | 3604283565 |
| Fax Number | 3604283593 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1548354319 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2013-05-21 |
Provider Mailing Address Detail
| Address | 2100 E Section St Ste 102 |
|---|---|
| City | Mount Vernon |
| State | Washington (WA) |
| Post Code | 982749132 |
| Phone Number | 3604283565 |
| Fax Number | 3604283593 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7195 |
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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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What is the unique 10-digit identification code issued to Bernard John Larson by the Centers for Medicare & Medicaid Services?
The Bernard John Larson has been assigned the NPI (National Provider Identifier) 1548354319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Bernard John Larson?
The Bernard John Larson is physically situated at 2100 E Section St Ste 102, in the city of Mount Vernon, state of WA, with the postal code 982749132.
What is the Bernard John Larson's specialty and taxonomy code?
The Bernard John Larson's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date was the 1548354319 assigned to Bernard John Larson?
The Bernard John Larson was issued its 1548354319 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Bernard John Larson's details last updated?
The information pertaining to the Bernard John Larson, including its address, specialty, and other details, was most recently updated on 2013-05-21.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY