Larsen, Todd S
Larsen, Todd S is an individual health care provider with primary practice located at 8915 S 700 E Ste 103 , Sandy UT 84070-2421. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Larsen, Todd S can be contacted via phone (801) 562-2147.Contact Information
Primary practice address
8915 S 700 E Ste 103
Sandy UT 84070-2421
Phone: (801) 562-2147
Fax: (801) 569-1795
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DN014721 | Georgia |
Dental Providers / Dentist | 122300000X | 360817-9922 | Utah |
Profile Details
NPI number | 1598890063 |
---|---|
LBN Legal business name | Larsen, Todd S |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2007 |
Last updated | Nov 12th, 2019 - about 5 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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