Robert Gardner Larson in Indianapolis - Orthodontics And Dentofacial Orthopedics
Robert Gardner Larson - NPI 1710171483
Robert Gardner Larson is a Orthodontics And Dentofacial Orthopedics in Indianapolis, Indiana. Robert Gardner Larson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Robert Gardner Larson is 1710171483. The last update date is 2007-09-05.
Robert Gardner Larson's current location address is 6070 N Keystone Ave, Indianapolis, Indiana. You can contact this provider via phone number 3172536784 and fax number 3178039917. The mailing address for Robert Gardner Larson is 6070 N Keystone Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Gardner Larson |
|---|---|
| Address | 6070 N Keystone Ave, Indianapolis, Indiana |
| Phone Number | 3172536784 |
| Fax Number | 3178039917 |
| Sole Proprietor | Y |
| Credentials | DDS MSD |
NPI Number Detail
| NPI Number | 1710171483 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 6070 N Keystone Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462202585 |
| Phone Number | 3172536784 |
| Fax Number | 3178039917 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 8110 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Robert Gardner Larson's unique identification number?
The Robert Gardner Larson has been assigned the NPI (National Provider Identifier) Number 1710171483 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 Robert Gardner Larson is physically located?
The Robert Gardner Larson is physically situated at the following address: 6070 N Keystone Ave, Indianapolis, IN, 462202585.
What is Robert Gardner Larson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert Gardner Larson is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
When did the Robert Gardner Larson receive its 1710171483?
The Robert Gardner Larson was issued its 1710171483 on 2007-09-05, which is the date when the organization was assigned this unique identifier.
When was the Robert Gardner Larson's information last updated?
The Robert Gardner Larson's information was last updated on 2007-09-05.