Dr Robert L Larison Pc

LBN: Dr Robert L Larison Pc
Dr Robert L Larison Pc is an health care organization with primary practice located at 1214 S 4Th St , Springfield IL 62703-2229. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr Robert L Larison Pc can be contacted via phone (217) 528-1502, or through Larison, Robert L via phone (217) 528-1502.

Contact Information

Primary practice address
1214 S 4Th St Springfield IL 62703-2229
Phone: (217) 528-1502
Fax: (217) 528-7448
Website:
Map and Directions
Authorized official contact:
Name: Larison, Robert L Doctor of Dental Surgery (DDS)
Phone: (217) 528-1502

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1447477849
LBN Legal business name Dr Robert L Larison Pc
DBA Doing business as
Authorized official Larison, Robert L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447477849 NPPES
Illinois MEDICAID 1002641

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