Anderson, Larry Douglas
Anderson, Larry Douglas is an sole proprietor health care provider with primary practice located at 11736 Impressive View Drive , Deadwood SD 57732-0154. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Larry Douglas can be contacted via phone (605) 578-7519.Contact Information
Primary practice address
11736 Impressive View Drive
Deadwood SD 57732-0154
Phone: (605) 578-7519
Fax: (605) 578-7519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 29012 | California |
Profile Details
| NPI number | 1699825190 |
|---|---|
| LBN Legal business name | Anderson, Larry Douglas |
| Credentials | DDS, ABGD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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