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
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN 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.
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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.