Larisa Anisimov in Norwich - Dental Hygienist
Larisa Anisimov - NPI 1477590859
Larisa Anisimov is a Dental Hygienist in Norwich, Connecticut. Larisa Anisimov practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Larisa Anisimov is 1477590859. The last update date is 2007-07-08.
Larisa Anisimov's current location address is 47 Town St, Norwich, Connecticut. You can contact this provider via phone number 8608927042 and fax number 8608927043. The mailing address for Larisa Anisimov is 47 Town St, Norwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larisa Anisimov |
|---|---|
| Address | 47 Town St, Norwich, Connecticut |
| Phone Number | 8608927042 |
| Fax Number | 8608927043 |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1477590859 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 47 Town St |
|---|---|
| City | Norwich |
| State | Connecticut (CT) |
| Post Code | 63602315 |
| Phone Number | 8608927042 |
| Fax Number | 8608927043 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 6403 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique 10-digit identification code issued to Larisa Anisimov by the Centers for Medicare & Medicaid Services?
The Larisa Anisimov has been assigned the NPI (National Provider Identifier) 1477590859 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Larisa Anisimov's facilities are situated?
The facilities of Larisa Anisimov are physically located at the following address: 47 Town St, Norwich, CT, 63602315.
What is Larisa Anisimov's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larisa Anisimov's area of specialization is Dental Hygienist, and the corresponding taxonomy code that categorizes this field of practice is 124Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477590859 to Larisa Anisimov?
The Centers for Medicare & Medicaid Services originally issued the 1477590859 to Larisa Anisimov on 2006-06-02.
When was the information pertaining to Larisa Anisimov most recently updated or revised?
The details related to Larisa Anisimov, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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