Betsworth, Larre L

Betsworth, Larre L is an sole proprietor health care provider with primary practice located at 2301 Sw 6Th Ave , Topeka KS 66606-1759. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Betsworth, Larre L can be contacted via phone (785) 233-1162.

Contact Information

Primary practice address
2301 Sw 6Th Ave Topeka KS 66606-1759
Fax: (785) 233-4169
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6550 Kansas

Profile Details

NPI number 1861497067
LBN Legal business name Betsworth, Larre L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Nov 15th, 2010 - about 16 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 1861497067 NPPES
Other 785405 UNITED CONCORDIA-TRICARE
Other 22957 UNITED CONCORDIA-TRICARE

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