Larson, Robert Gardner

Larson, Robert Gardner is an sole proprietor health care provider with primary practice located at 6070 N Keystone Ave , Indianapolis IN 46220-2585. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Larson, Robert Gardner can be contacted via phone (317) 253-6784.

Contact Information

Primary practice address
6070 N Keystone Ave Indianapolis IN 46220-2585
Phone: (317) 253-6784
Fax: (317) 803-9917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8110 Indiana
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 8110 Indiana

Profile Details

NPI number 1710171483
LBN Legal business name Larson, Robert Gardner
Credentials DDS MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2007
Last updated Sep 5th, 2007 - about 19 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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