Lewis C Larson in Celebration - Periodontics

Lewis C Larson - NPI 1619005790

Lewis C Larson is a Periodontics in Celebration, Florida. Lewis C Larson practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Lewis C Larson is 1619005790. The last update date is 2007-07-08.

Lewis C Larson's current location address is 741 Front St, Celebration, Florida. You can contact this provider via phone number 4075662222 and fax number 4075661650. The mailing address for Lewis C Larson is 741 Front St, Celebration, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lewis C Larson
Address 741 Front St, Celebration, Florida
Phone Number 4075662222
Fax Number 4075661650
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1619005790
Provider Enumeration Date 2007-03-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 741 Front St
City Celebration
State Florida (FL)
Post Code 347474991
Phone Number 4075662222
Fax Number 4075661650

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DN 7443
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Lewis C Larson

What is the Lewis C Larson's 1619005790?

The Lewis C Larson's NPI (National Provider Identifier) Number is 1619005790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lewis C Larson located?

The Lewis C Larson is located at 741 Front St, Celebration, FL 347474991.

What is Lewis C Larson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lewis C Larson's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.

On what date did Lewis C Larson receive its 1619005790 assignment from the Centers for Medicare & Medicaid Services?

The Lewis C Larson was assigned its 1619005790 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Lewis C Larson last refreshed?

The information related to the Lewis C Larson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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