Loveridge, Larry W

Loveridge, Larry W is an sole proprietor health care provider with primary practice located at 1921 S Arthur St , Kennewick WA 99338-7719. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Loveridge, Larry W can be contacted via phone (509) 947-3861.

Contact Information

Primary practice address
1921 S Arthur St Kennewick WA 99338-7719
Phone: (509) 947-3861
Fax: (509) 735-9852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE00007618 Washington

Profile Details

NPI number 1427147404
LBN Legal business name Loveridge, Larry W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427147404 NPPES
Washington MEDICAID 5023577
Washington MEDICAID 5036876
Washington Other CS10000217

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