Larison, Robert L

Larison, Robert L is an individual health care provider with primary practice located at 1214 S 4Th St , Springfield IL 62703-2229. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Larison, Robert L can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1720205115
LBN Legal business name Larison, Robert L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 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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