Larry C Breeding in Jackson - Prosthodontics
Larry C Breeding - NPI 1811096399
Larry C Breeding is a Prosthodontics in Jackson, Mississippi. Larry C Breeding practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Larry C Breeding is 1811096399. The last update date is 2007-07-09.
Larry C Breeding's current location address is University Of Mississippi School Of Dentistry, Jackson, Mississippi. You can contact this provider via phone number 6019846030 and fax number 6019846039. The mailing address for Larry C Breeding is University Of Mississippi School Of Dentistry, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry C Breeding |
|---|---|
| Address | University Of Mississippi School Of Dentistry, Jackson, Mississippi |
| Phone Number | 6019846030 |
| Fax Number | 6019846039 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1811096399 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | University Of Mississippi School Of Dentistry |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164505 |
| Phone Number | 6019846030 |
| Fax Number | 6019846039 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 3077-98 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 660284 | MS | -- |
Post Comment/ Review Below
What is the Larry C Breeding's 1811096399?
The Larry C Breeding's NPI (National Provider Identifier) Number is 1811096399. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Larry C Breeding's facilities are geographically located?
The facilities of Larry C Breeding are physically situated at the following location: University Of Mississippi School Of Dentistry, Jackson, MS, 392164505.
What is the Larry C Breeding's specialty and taxonomy code?
The Larry C Breeding's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.
On what date did the Larry C Breeding receive the assignment of its 1811096399 from the Centers for Medicare & Medicaid Services?
The Larry C Breeding was issued its 1811096399 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the information regarding Larry C Breeding, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Larry C Breeding, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.