Individual provider · Type 1 NPI

Larry Lee Jack, DDS

Dentist · Leadville, CO

NPI number 1386982247 Active

Practice location

404 E 7th St
Leadville, CO 80461-3131

Mailing address

PO Box 476
Leadville, CO 80461-0476

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X7752 (CO)
Dentist 122300000X9327 (MD)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1386982247

Larry Lee Jack, DDS's National Provider Identifier is 1386982247, issued on Jan 27, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Leadville, CO. The record was last updated on Jan 27, 2013.