Dana Diane Larson in Olympia - General Practice

Dana Diane Larson - NPI 1861608564

Dana Diane Larson is a General Practice in Olympia, Washington. Dana Diane Larson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dana Diane Larson is 1861608564. The last update date is 2007-07-08.

Dana Diane Larson's current location address is 1212 E 4th Ave, Olympia, Washington. You can contact this provider via phone number 3603576220 and fax number 3603525412. The mailing address for Dana Diane Larson is 1212 E 4th Ave, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana Diane Larson
Address 1212 E 4th Ave, Olympia, Washington
Phone Number 3603576220
Fax Number 3603525412
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1861608564
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1212 E 4th Ave
City Olympia
State Washington (WA)
Post Code 98506
Phone Number 3603576220
Fax Number 3603525412

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7455
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
831896 WA UNITED CONCORDIA
5356001 WA DSHS
9590 WA WASHINGTON DENTAL SERVICE
134017 WA L AND I

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FAQs about Dana Diane Larson

What is the unique provider identifier assigned to Dana Diane Larson?

The Dana Diane Larson has been issued the NPI (National Provider Identifier) 1861608564 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Dana Diane Larson's physical address?

The Dana Diane Larson is physically located at 1212 E 4Th Ave, in the city of Olympia, WA, with the postal code 98506.

What is the area of specialization for Dana Diane Larson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dana Diane Larson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When did the Dana Diane Larson receive its 1861608564?

The Dana Diane Larson was issued its 1861608564 on 2007-05-16, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Dana Diane Larson most recently updated or revised?

The details related to Dana Diane Larson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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