Amy L Larson is a Dental Hygienist in Sobieski, Wisconsin. Amy L Larson practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Amy L Larson is 1720119845. The last update date is 2007-07-08.
Amy L Larson's current location address is 1408 Spring St, Sobieski, Wisconsin. You can contact this provider via phone number 9208266655. The mailing address for Amy L Larson is 1408 Spring St, Sobieski, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy L Larson |
|---|---|
| Address | 1408 Spring St, Sobieski, Wisconsin |
| Phone Number | 9208266655 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1720119845 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1408 Spring St |
|---|---|
| City | Sobieski |
| State | Wisconsin (WI) |
| Post Code | 541719717 |
| Phone Number | 9208266655 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 4743 |
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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 identifier code issued to Amy L Larson by the Centers for Medicare & Medicaid Services?
The Amy L Larson has been assigned the NPI (National Provider Identifier) 1720119845. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Amy L Larson's facilities are geographically located?
The facilities of Amy L Larson are physically situated at the following location: 1408 Spring St, Sobieski, WI, 541719717.
What is the Amy L Larson's specialty and taxonomy code?
The Amy L Larson's specialty is Dental Hygienist, and the corresponding taxonomy code is 124Q00000X.
On what date was the 1720119845 assigned to Amy L Larson?
The Amy L Larson was issued its 1720119845 on 2007-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Amy L Larson most recently updated?
The details pertaining to the Amy L Larson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.