Individual provider · Type 1 NPI

Lewis C. Larson, DMD

Periodontics · Celebration, FL

NPI number 1619005790 Active

Practice location

400 Celebration Pl, A-260
Celebration, FL 34747-4970

Fax (407) 566-1650

Mailing address

741 Front St, #310
Celebration, FL 34747-4991

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN 7443 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

172 other providers at this address

About NPI 1619005790

Lewis C. Larson, DMD's National Provider Identifier is 1619005790, issued on Mar 1, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Celebration, FL. The record was last updated on Jul 8, 2007.